摘要
目的:探索重度膝关节病关节置换的假体选择、注意事项与疗效分析。方法:1996年1月至2009年7月,对50例58膝重度膝关节病进行了全膝关节置换并进行了随访,其中男12例,女38例;年龄46～80岁,平均66.5岁。根据膝关节的畸形情况选择不同假体,使用铰链式膝关节6个,普通膝关节37个,高屈度膝关节15个。术后根据HSS评分系统对膝关节功能进行评价。结果:随访6个月～8年,按美国HSS评分系统进行评定,术前平均(38.6±8.76)分,术后平均(86.50±9.45)分,50例58膝中20例23膝评分为优,28例32膝评分良,2例3膝评分尚可。结论:重度膝关节病依关节畸形程度,选用不同膝关节假体置换,可获得一个无痛、稳定、畸形纠正良好功能恢复的关节。
Objective：To investigate the prosthesis selection,precaution and curative effect of total knee replacement in severe gonarthrosis. Methods：From January 1996 to July 2009,50 patients（58 knees）with severe gonarthrosis underwent total knee replacement,included 12 males and 38 females,aged from 46 to 80 years with an average age of 66.5 years old. Six artificial hinged knee joints,37 general knee joints and 15 ScorpioNRG knee joints were used according to the deformity of the knees. Fifty patients （58 knees） were followed up and evaluated with the HSS （the Hospital for Special Surgery Knee Score） scoring system. Results：The duration of follow up ranged from 6 months to 8 years （means 62 months）. According to the HSS scoring system,the mean preoperative score was （38.6±8.76） points,and the postoperative score was （86.50±9.45） points. The clinical effect was excellent in 20 cases （23 knees）,good in 28 cases （32 knees）,and acceptable in 2 cases （3 knees）. Conclusion：Stable and functional recovery knee joint without deformities and pains could be obtained after total knee replacement by carefully chosing of prosthetic replacements according to the different degrees of joint deformity of severe gonarthrosis.
出处
《中国骨伤》
CAS
2010年第2期139-142,共4页
China Journal of Orthopaedics and Traumatology
关键词
骨关节炎
膝
畸形
人工关节
Osteoarthritis
knee
Abnormalities
Joint prosthesis
