| 38例单侧人工全膝关节置换术后的康复锻炼 |
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Received:December 14, 2009
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| 期刊信息：《中国骨伤》2010年23卷，第3期，第220-221页 |
| DOI：10.3969/j.issn.1003-0034.2010.03.023 |
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目的：探讨单侧人工全膝关节置换手术后康复锻炼的方法及效果。
方法：自2007年5月至2009年5月，采用人工全膝关节置换术对38例膝关节患者进行治疗，并进行术后康复训练。其中男20例，女18例；年龄50～82岁，平均65岁；病程4～35年。创伤性关节炎30例，骨性关节炎5例，类风湿性关节炎3例。临床症状以膝关节疼痛和功能障碍为主，部分患者有晨僵和骨性肥大，少数伴有膝关节内翻或外翻畸形，股四头肌萎缩。X线片可以看到关节间隙模糊变窄，骨赘形成，骨囊性变和软骨下骨硬化等改变。
结果：38例术后均获随访，时间6～12个月。按照HSS膝关节评分标准，术前平均(40.22±7.39)分，与术后(87.47±6.60)分比较，差异有统计学意义(t=31.56,P<0.01).
结论：单侧人工全膝关节置换术后对患者进行康复训练是保证手术治疗效果的关键，效果满意，值得推广。 |
| [关键词]:关节成形术，置换，膝 康复 骨关节炎，膝 关节炎，类风湿 |
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| Rehabilitation exercises after single total knee replacement:a report of 38 cases |
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Abstract:
Objective: To study the Methods and effects of rehabilitation exercises after single total knee replacement (TKR).
Methods: From May 2007 to May 2009,38 patients with knee joint diseases were treated with artificial total knee replacement,and the postoperative rehabilitation training was conducted. Among the patients,20 were males and 18 were females,ranging in age from 50 to 82 years,with an average of 65 years. Course of diseases ranged from 4 to 35 years. Thirty patients were traumatic arthritis,5 patients were osteoarthritis,and 3 patients were rheumatoid arthritis. Clinical symptoms were knee joint pain and dysfunction;some patients had morning stiffness and bone hypertrophy,a few of them accompanied with knee varus or valgus,quadriceps atrophy. X-ray films showed narrow joint space,osteophyte,cystic changes,and subchondral bone sclerosis.
Results: All the patients were followed up ranging from 6 to 12 months. According to HSS knee score system,the mean scores were 40.22±7.39 points before operation, and 87.47±6.60 points after rehabilitation. The difference was statistically significant(t=31.56,P<0.01).
Conclusion: Rehabilitation training after single total knee replacement is the key to ensure the effects of the operation. The rehabilitation training in our hospital has satisfactory Results,and is worth to popularize. |
| KEYWORDS:Arthroplasty,replacement,knee Rehabilitation Osteoarthritis,knee Arthritis,rheumatoid |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 程宁,时秋英.38例单侧人工全膝关节置换术后的康复锻炼[J].中国骨伤,2010,23(3):220~221 |
| 英文格式: | CHENG Ning,SHI Qiu-ying.Rehabilitation exercises after single total knee replacement:a report of 38 cases[J].zhongguo gu shang / China J Orthop Trauma ,2010,23(3):220~221 |
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