| 陈旧性跟腱断裂严重瘢痕化的手术治疗 |
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投稿时间：2014-09-05
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| 作者 | Author | 单位 | Address | E-Mail |
| 王路 |
WANG Lu |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 林文军 |
LIN Wen-Jun |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 陈凯 |
CHEN Kai |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 陈鑫 |
CHEN Xin |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 朱雄白 |
ZHU Xiong-bai |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| 杨胜武 |
YANG Sheng-wu |
温州医科大学附属第一医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
yangswcn@foxmail.com |
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| 期刊信息：《中国骨伤》2015年，第28卷，第4期，第357-362页 |
| DOI：10.3969/j.issn.1003-0034.2015.04.015 |
| 基金项目: |
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中文摘要:
目的:探讨单髁置换术治疗膝关节自发性骨坏死的短期临床疗效。
方法:自2013年9月至2014年4月采用单髁置换术治疗5例膝关节自发性骨坏死患者,其中男3例,女2例;年龄65～80岁,平均74岁;病程1～6年,平均3年。根据Koshino影像学分期,Ⅱ期1例,Ⅲ期2例,Ⅳ期2例。术后采用VAS评分、HSS评分、膝关节活动度、胫股角对其疗效进行评价。
结果:5例患者均获得随访,时间6～7个月,平均6.4个月。所有患者术后切口Ⅰ期愈合,术后未出现感染、下肢血栓、骨折等并发症。5例患者术后膝关节疼痛减轻,功能明显改善,关节活动度改善不明显;HSS评分、VAS评分、胫股角均较术前有明显改善。
结论:单髁置换术治疗膝关节自发性骨坏死的短期疗效满意。 |
| 【关键词】关节成形术,置换,膝 骨坏死,自发性 |
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| Analysis of clinical effect of unicompartmental knee arthroplasty in treating spontaneous osteonecrosis of the knee |
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ABSTRACT
Objective:To investigate the short-term clinical outcome of unicompartmental knee arthroplasty for the treatment of spontaneous osteonecrosis of the knee.
Methods:From September 2013 to April 2014, 5 patients with spontaneous osteonecrosis of the knee underwent unicompartmental knee arthroplasty, included 3 males and 2 females, aged from 65 to 80 years old with an average of 74 years. The courses of disease was from 1 to 6 years with the mean of 3 years. According to the radiographic staging criteria of Koshino, 1 case was stageⅡ, 2 cases were stage Ⅲ, 2 cases were stage Ⅳ。Clinical effects were assessed by VAS score, HSS score, and knee range of motion, tibiofemoral angle before and after operation.
Results:All the patients were followed up from 6 to 7 months with an average of 6.4 months. All incisions obtained primary healing, and there were no complications such as infection, thrombosis, fracture of lower limbs. All 5 patients' pain relieved and their knee function improved significantly after operation, but knee range of motion had no obviously improved. Postoperative HSS scores, VAS scores, tibiofemoral angle were significantly improved than that of preoperative.
Conclusion:The short-term effect of unicompartmental knee arthroplasty in treating spontaneous osteonecrosis of the knee is satisfactory. |
| KEY WORDS Arthroplasty,replacement,knee Osteonecrosis,spontaneous |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王路,林文军,陈凯,陈鑫,朱雄白,杨胜武.陈旧性跟腱断裂严重瘢痕化的手术治疗[J].中国骨伤,2015,28(4):357~362 |
| 英文格式: | WANG Lu,LIN Wen-Jun,CHEN Kai,CHEN Xin,ZHU Xiong-bai,YANG Sheng-wu.Analysis of clinical effect of unicompartmental knee arthroplasty in treating spontaneous osteonecrosis of the knee[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(4):357~362 |
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