摘要
目的探讨年龄大于75岁的高龄患者进行全膝关节置换术的并发症情况及疗效。方法系统回顾分析2006年8月至2012年12月,共62例（72膝）大于75岁实施全膝关节置换术的患者,记录术前合并症和术后并发症的情况。术后2周,1.5、3、6、12月及之后每年门诊随访,应用HSS评分进行评估。结果所有62例患者中,术中没有死亡和局部并发症。围术期术后系统性并发症31例,并发症发生率为43.1%,共有8例（12膝）失访,54例（60膝）获得随访,随访时间12~72个月,平均（36.9±3.5）个月。HSS评分恢复到平均（86.2±12.8）分,优良率88.3%。结论通过术前合理选择病例,术中、术后密切监护调整,加强出院后的随访和功能康复指导,可以有效地降低术后的各种并发症,使得全膝关节置换术也可以在高龄患者中获得满意的疗效。
Objective To evaluate the complications and efficacy of total knee arthroplasty（ TKA） in the patients over 75 years old. Methods Sixty-two patients（ 72 knees） over 75 years old who underwent TKA between August 2006 and December 2012 were retrospectively reviewed. The patients＇ data（ preoperative comorbidities and postoperative complications） were collected for analysis. During the followup period,at 2 weeks,1. 5,3,6 and 12 months postoperatively and then annually thereafter,Hospital for Special Surgery knee-rating（ HSS） score was used for the clinical evaluation. Results There was no death and local complication in all the patients during the surgery. Eight patients（ 12 knees） were lost during the follow-up,while 54 patients（ 60 knees） were available for the follow-up. The mean follow-up time was（ 36. 9 ±3. 5） months（ ranged from 12 to 72 months）. Thirty-one cases developed postoperative systemic complications; the incidence of complications was 43. 1%. The average HSS score was improved to（ 86. 2 ±12. 8） points; the excellent and good rate was 88. 3%. Conclusion Careful patient selection before the surgery and good patient care after the surgery can minimize the medical complications,which makes TKA an excellent option for the patients older than 75 years.
出处
《中华关节外科杂志（电子版）》
CAS
2015年第1期37-40,共4页
Chinese Journal of Joint Surgery(Electronic Edition)
基金
北京市科技计划项目(D121100004212004)
关键词
关节成形术
置换
膝
老年人
手术后并发症
Arthroplasty
replacement
knee
Aged
Postoperative complications
