摘要
目的分析膝关节置换治疗重度膝关节内翻的临床疗效。方法该次研究观察了该院收治的78例重度膝关节内翻患者,患者入组时间为2016年3月—2018年1月,应用数字随机法将患者分成研究组和普通组,研究组采用膝关节置换治疗,普通组给与常规的手术截骨联合内固定矫形治疗,对比两组患者治疗后的关节活动情况和临床治疗。结果研究组患者治疗后关节活动度为(95.32±7.38)°,膝内翻角度为(171.65±6.27)°,膝关节屈曲挛缩度为(0.51±0.02)°,各项数据与普通组对比差异有统计学意义(t=8.733、10.712、41.724,P<0.05);研究组患者膝关节功能恢复优良率为92.31%(36例),普通组患者膝关节功能恢复优良率为74.26%(29例),两组膝关节功能恢复优良率差异有统计学意义(χ2=4.410,P<0.05);研究组患者并发症发生率为5.13%(2例),普通组患者并发症发生率为23.08%(9例),两组并发症数据差异有统计学意义(χ2=4.909,P<0.05)。结论膝关节置换术治疗重度膝关节内翻可以显著改善患者膝关节活动度,提升膝关节功能,且预后效果较好,并发症比较少见,建议在临床中进行推广。
Objective To analyze the clinical effect of knee replacement for severe knee varus.Methods This study observed 78 patients with severe knee varus treated in the hospital.The patients were enrolled from March 2016 to January 2018.The patients were divided into a study group and a general group by the digital random method.The knee joint replacement treatment was used.The general group was given conventional surgical osteotomy combined with internal fixation and orthopedic treatment.The joint activity and clinical treatment of the two groups were compared.Results After treatment,the joint mobility of the study group was(95.32±7.38)°,the knee varus angle was(171.65±6.27)°,and the knee flexion contracture was(0.51±0.02)°.The data were compared with the general group.The difference was statistically significant(t=8.733,10.712,41.724,P<0.05);the excellent rate of knee function recovery in the study group was 92.31%(36 cases),and the excellent rate of knee function recovery in the general group was 74.26%(29 cases),there was a statistically significant difference in the excellent and good rate of knee function recovery between the two groups(χ2=4.410,P<0.05);the incidence of complications in the study group was 5.13%(2 cases),and the incidence of complications in the general group was 23.08%(9 cases),the difference in complications between the two groups was statistically significant(χ2=4.909,P<0.05).Conclusion Knee arthroplasty can significantly improve knee mobility and knee function in patients with severe knee varus,and the prognosis is better,and complications are rare.It is recommended to be promoted in clinical practice.
作者
王富国
WANG Fu-guo(Department of Orthopaedics,Kaiyuan People's Hospital,Honghe Prefecture,Kaiyuan,Yunnan Province,661600 China)
出处
《系统医学》
2020年第2期83-85,共3页
Systems Medicine
