摘要
目的探讨人工全膝关节置换术中髌骨置换之后的临床疗效,为临床上是否要进行髌骨置换提供参考依据。方法选择2009年12月—2012年2月于我院急诊科、骨科就诊并拟行人工全膝关节置换术的骨关节炎患者84例,按随机数字随机将所有入选患者分为对照组42例和研究组42例,研究组患者在关节置换术中接受髌骨置换的治疗,对照组则不进行髌骨置换,治疗后所有患者接受为期1年的随访,对两组疗效进行比较。结果两组术后2、3个月的美国膝关节协会评分系统(KSS)临床评分差异均无统计学意义(P>0.05),术后6、12个月KSS临床评分差异有统计学意义(P<0.05);两组术后2、3、6个月的Feller髌骨评分差异均无统计学意义(P>0.05),术后12个月Feller髌骨评分差异有统计学意义(P<0.05)。结论人工全膝关节置换术中行髌骨置换能在一定程度上改善膝关节功能评分和髌骨评分。
Objective To investigate the clinical efficacy of artificial total knee resurfacing arthroplasty, so as to provide a reference for clinical practice. Methods A total of 84 patients, who had undergone total knee replacement due to osteoarthritis from Decem-ber 2009 to February 2012, were enrolled in the study. They were divided into trial group （n = 42 ） treated with resurfacing arthro-plasty and control group （ n = 42 ） treated without resurfacing after treatment. All the patients received a one-year follow-up. Results The difference in American Knee Society Score （KSS） was not significant two or three months after operation （P 〉 0. 05 ） , but it was significant six or 12 months after （ P 〈 0.05 ）. There was no significant difference in Feller patellar score two, three or six months after operation （P 〉 0. 05） , except 12 months after operation （P 〈 0.05 ）. Conclusion Total knee resurfacing arthroplas-ty, to some extent, dose well in improvement in knee function and patellar score.
出处
《临床军医杂志》
CAS
2013年第10期1030-1031,共2页
Clinical Journal of Medical Officers
