全关节置换术在进展型骨关节炎中的作用
发布时间：2018-10-30 16:04
【摘要】：背景:鉴于越来越多的骨关节炎患者选择了全膝关节置换术。有部分研究表明,因为患者年龄较大或术前准备不完善,全膝关节置换术患者的术前症状缓解不尽如人意并存在功能活动低于预期的情况,这些情况吸引了部分学者的注意,为解决这一问题,他们将注意力集中在了特定的手术技术和假体设计上,但这两者并没有完美的解决这一问题。为了避免引起最常见的导致早期手术翻修,假体感染和假体不稳定等情况,确保患者术后症状的缓解和延长远期假体生存率,特此提出此项研究。目的:评价膝关节置换术治疗晚期膝关节骨性关节炎的效果。研究方式:回顾性研究。方法:对昆明医科大学第一附属医院确诊为膝关节骨性关节炎的40例病案进行研究。研究对象主要是影像学确诊的晚期膝关节骨性关节炎患者,这些患者在2015年1月1日至2017年1月1日期间进行了全膝关节置换术,手术指征是膝关节严重疼痛。结果:患者年龄(平均值±标准差):66.35±8.29,女性人数为70%,男性人数为30%。52.5%的患者行左侧TKA,右侧的为45.5%;85%患者诊断为膝关节骨性关节炎4期,15%诊断为3期,术前和术后疼痛评分采用前述方法进行统计学分析,P值为0.001((P0.05);前后位稳定性的数据P值0.001(0.05);活动范围:P值0.001(0.05)(表5和图4)伸直受限方面:P值0.001(即0.05)。术后随访12个月的患者数目平均值±SD:6.6842±4.42283。术后并发症17例,DVT 10例,肺炎10例,肺炎和DVT 5例,其余67.5%无并发症。结论:通过本实验发现,在膝关节骨关节炎3期和4期的患者中,全膝关节置换术的患者在疼痛严重程度(用疼痛量表测量),运动范围,前后位稳定性和伸直受限程度上得到改善,这些结果具有统计学意义。
[Abstract]:Background: in view of the increasing number of patients with osteoarthritis, total knee arthroplasty has been chosen. Some studies have shown that patients with total knee arthroplasty have less than satisfactory preoperative symptoms and lower than expected functional activities due to their older age or inadequate preoperative preparation, which has attracted some scholars' attention. To solve this problem, they focused on specific surgical techniques and prosthesis design, but both did not solve the problem perfectly. In order to avoid the most common causes of early surgical revision, prosthetic infection and prosthetic instability, to ensure the relief of postoperative symptoms and prolong the long-term survival rate of prosthesis, this study is proposed. Objective: to evaluate the efficacy of knee arthroplasty in the treatment of advanced osteoarthritis of the knee. Research methods: retrospective study. Methods: 40 cases of knee osteoarthritis diagnosed in the first affiliated Hospital of Kunming Medical University were studied. The subjects were radiographically diagnosed patients with advanced knee osteoarthritis who underwent total knee arthroplasty from January 1, 2015 to January 1, 2017, indicating severe knee pain. Results: the age (mean 卤standard deviation) of the patients was 66.35 卤8.29, the number of women was 70, the number of men was 30.52.5%, the right side of TKA, was 45.5%; 85% of the patients were diagnosed as stage 4 of knee osteoarthritis and 15% of the patients with stage 3. The preoperative and postoperative pain scores were statistically analyzed by the above-mentioned method (P = 0.001). The range of activity: P value 0.001 (Table 5 and Fig. 4): P value 0.001 (P = 0.001). The average number of patients followed up for 12 months was 卤SD:6.6842 卤4.42 283. There were 17 cases of postoperative complications, 10 cases of DVT, 10 cases of pneumonia, 5 cases of pneumonia and DVT. The other 67.5% had no complications. Conclusion: in the patients with stage 3 and stage 4 of knee osteoarthritis, the patients undergoing total knee arthroplasty had severe pain (measured by pain scale) and exercise range. The anterior and posterior position stability and the degree of extension limitation were improved, and the results were statistically significant.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4
本文编号：2300481
[Abstract]:Background: in view of the increasing number of patients with osteoarthritis, total knee arthroplasty has been chosen. Some studies have shown that patients with total knee arthroplasty have less than satisfactory preoperative symptoms and lower than expected functional activities due to their older age or inadequate preoperative preparation, which has attracted some scholars' attention. To solve this problem, they focused on specific surgical techniques and prosthesis design, but both did not solve the problem perfectly. In order to avoid the most common causes of early surgical revision, prosthetic infection and prosthetic instability, to ensure the relief of postoperative symptoms and prolong the long-term survival rate of prosthesis, this study is proposed. Objective: to evaluate the efficacy of knee arthroplasty in the treatment of advanced osteoarthritis of the knee. Research methods: retrospective study. Methods: 40 cases of knee osteoarthritis diagnosed in the first affiliated Hospital of Kunming Medical University were studied. The subjects were radiographically diagnosed patients with advanced knee osteoarthritis who underwent total knee arthroplasty from January 1, 2015 to January 1, 2017, indicating severe knee pain. Results: the age (mean 卤standard deviation) of the patients was 66.35 卤8.29, the number of women was 70, the number of men was 30.52.5%, the right side of TKA, was 45.5%; 85% of the patients were diagnosed as stage 4 of knee osteoarthritis and 15% of the patients with stage 3. The preoperative and postoperative pain scores were statistically analyzed by the above-mentioned method (P = 0.001). The range of activity: P value 0.001 (Table 5 and Fig. 4): P value 0.001 (P = 0.001). The average number of patients followed up for 12 months was 卤SD:6.6842 卤4.42 283. There were 17 cases of postoperative complications, 10 cases of DVT, 10 cases of pneumonia, 5 cases of pneumonia and DVT. The other 67.5% had no complications. Conclusion: in the patients with stage 3 and stage 4 of knee osteoarthritis, the patients undergoing total knee arthroplasty had severe pain (measured by pain scale) and exercise range. The anterior and posterior position stability and the degree of extension limitation were improved, and the results were statistically significant.
【学位授予单位】：昆明医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4
【参考文献】
相关期刊论文 前1条
1 Francesca Di Puccio;Lorenza Mattei;;Biotribology of artificial hip joints[J];World Journal of Orthopedics;2015年01期
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