| 个性化截骨工具与传统人工全膝关节置换治疗膝骨关节炎的临床对照试验 |
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投稿时间：2016-02-15
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| 作者 | Author | 单位 | Address | E-Mail |
| 余华晨 |
YU Hua-chen |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
huachenyu@126.com |
| 张宇 |
ZHANG Yu |
温州医科大学附属第二医院骨科, 浙江 温州 325000 |
Department of Orthopaedics, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, Zhejiang, China |
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| Paul Wong |
Paul Wong |
多伦多东部总医院骨科, 安大略 多伦多 M4C 5MC |
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| 期刊信息：《中国骨伤》2016年，第29卷，第6期，第513-516页 |
| DOI：10.3969/j.issn.1003-0034.2016.06.007 |
| 基金项目:浙江省卫生厅科研基金资助项目(编号:2013KYB175) |
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| 中文摘要:目的: 比较个性化截骨工具与传统人工全膝关节置换(TKA)的治疗膝骨性关节炎的临床疗效。方法: 自2014年6月至2014年12月,将40例单侧膝骨性关节炎患者分为两组,每组20例。一组接受个性化截骨工具辅助全膝关节置换术(个性化组),其中男5例,女15例;平均年龄(67.3±6.5)岁;左侧8例,右侧12例。另一组接受传统全膝关节置换术(传统组),其中男6例,女14例;平均年龄(66.8±7.3)岁;左侧9例,右侧11例。比较两组患者的手术时间、出血量、术后6个月HSS评分,以及手术前后下肢力线的变化。结果: 个性化组和传统组的手术时间分别为(79.3±4.7) min和(83.5±3.2) min;出血量分别为(287.1±24.9) ml和(363.4±47.2) ml.两组手术时间、出血量比较差异均有统计学意义(P<0.05).个性化组和传统组术后6个月HSS评分分别为84.8±3.2和84.2±2.5,两组比较差异无统计学意义。个性化组和传统组术后下肢力线分别为(2.8±0.6)°和(2.8±0.6)°,两组比较差异无统计学意义。结论: 个性化截骨工具辅助的TKA较传统TKA手术时间更短、出血量更少,但是术后膝关节功能、下肢力线改善与传统TKA手术没有差别。 |
| 【关键词】关节成形术,置换,膝 外科手术 膝关节 临床对照试验 |
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| Case-control study on individual osteotomy instrument and conventional total knee arthroplasty for the treatment of knee osteoarthritis |
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| ABSTRACT Objective: To compare clinical efficacy of individual osteotomy instrument and total knee arthrolplasty(TKA) in treating patients with knee osteoarthritis. Methods: From June 2014 to December 2014,40 patients with unilateral knee osteoarthritis were randomly divided into two groups and 20 cases were in each group. One group (individual group) were treated with TKA with individual osteotomy instrument,including 5 males and 15 females with an average age of (67.3±6.5) years old; 8 cases on the left side and 12 cases on the right side. Another group(conventional group) were treated with conventional TKA,including 6 males and 14 females with an average age of (66.8±7.3) years old;9 cases on the left side and 11 cases on the right side. Operative time,blood loss,postoperative HSS score at 6 months,and changes of mechanical alignment before and after operation were analyzed. Results: Operative time in individual group was (79.3±4.7) min,and(83.5±3.2) min in conventional group;blood loss in individual group was (287.1±24.9) ml and(363.4±47.2) ml in conventional group,there were statistical differences between two groups in these two items. There was no significant difference in postoperative HSS score at 6 months between individual group(84.8±3.2) and conventional group(84.2±2.5). Postoperative limb alignment in individual group was (2.8±0.6)°,and (2.8±0.6)° in conventional group,with no significant difference between two groups. Conclusion: TKA with individual osteotomy instrument could reduce operative time and blood loss,but there was no differences in knee function,changes of mechanical alignment compared with TKA. |
| KEY WORDS Arthroplasty,replacement,knee Surgical procedures,operative Knee joint Controlled clinical trials |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 余华晨,张宇,Paul Wong.个性化截骨工具与传统人工全膝关节置换治疗膝骨关节炎的临床对照试验[J].中国骨伤,2016,29(6):513~516 |
| 英文格式: | YU Hua-chen,ZHANG Yu,Paul Wong.Case-control study on individual osteotomy instrument and conventional total knee arthroplasty for the treatment of knee osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(6):513~516 |
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