术前膝关节内侧间隙宽度对单髁置换术后近期疗效的影响

发布时间：2018-06-19 12:51

本文选题：单髁置换术 + 关节间隙宽度　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:目前人工膝关节单髁置换术的手术适应证与禁忌证存在许多争议,大致围绕在膝关节的活动度、内外翻畸形角度、外侧间室是否磨损、髌股关节是否正常、疼痛程度、年龄以及体重等。本文目的是为了研究不同的膝内侧间室宽度是否会对单髁置换术后近期疗效产生影响,术前膝关节内侧间隙测量的宽度是否可以作为单髁置换术前适应证的考量。方法:纳入2014年12月至2016年3月我院关节外科行单髁置换术并得到随访的膝内侧间室骨关节炎患者68例,置换前对患者行站立位双下肢全长片,通过影像读片系统测得膝关节内侧间隙宽度,以宽度2mm为界将患者分为A组(膝关节内侧间隙宽度?2mm),B组(膝关节内侧间隙宽度(29)2mm),收集两组患者单髁置换术前与近期末次随访的膝关节OKS评分、KSS临床评分以及HS S评分,做比较并进行统计学分析。结果与结论:两组患者术后均无并发症,两组患者末次随访的膝关节评分均较置换前明显提高(P(27)0.05),两组置换前膝关节评分有明显差异(P(27)0.05),两组末次随访的膝关节评分有明显差异(P(27)0.05),说明术前膝关节内侧间隙宽度是影响单髁置换术后近期疗效的因素,单髁置换前膝关节内侧间隙宽度变窄且?2mm或者内侧间隙消失存在明显的“骨对骨征”的患者更适合行单髁置换术。
[Abstract]:Objective: at present, the indications and contraindications of single condyle replacement of artificial knee joint are controversial, which mainly focus on the range of motion of knee joint, the angle of varus, the wear of lateral interventricular, whether the patellofemoral joint is normal or not, and the degree of pain. Age and weight. The purpose of this study was to investigate whether different medial compartment widths of the knee would have an impact on the short-term outcome after monondylar replacement, and whether the width of the medial space of the knee joint could be considered as a pre-operative indication for monondylar replacement. Methods: from December 2014 to March 2016, 68 patients with osteoarthritis of medial compartment of knee were treated with single condylar replacement in our hospital from December 2014 to March 2016. The width of the medial space of the knee joint was measured by the image reading system. Patients were divided into group A (width of medial space of knee joint) and group B (width of medial space of knee joint: 292mm) according to width of 2mm. The clinical score and HS-S score of patients before and after monodondylar replacement were collected. Make comparison and statistical analysis. Results and conclusion: there were no postoperative complications in both groups. The knee joint score of the last follow-up in the two groups was significantly higher than that before the replacement. There was a significant difference in the knee joint score between the two groups before the replacement. There was a significant difference between the two groups in the knee joint score at the last follow-up. This indicated the width of the medial space of the knee joint before operation. Degree is the factor that affects the short-term curative effect after monondylar replacement. Patients with narrow width of medial space of knee joint before monondylar replacement and 2 mm or disappearance of medial space have obvious bone-to-bone sign which is more suitable for monondylar replacement.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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