| 僵硬膝关节行人工全膝关节置换的效果及关节活动范围影响分析 |
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Received:July 11, 2016
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| 作者 | Author | 单位 | Unit | E-Mail |
| 王元吉 |
WANG Yuan-ji |
青岛大学附属医院关节外科, 山东 青岛 266000
日照市人民医院骨科, 山东 日照 276826 |
Department of Joint Surgery, Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, China |
yjwang730715@163.com |
| 李常辉 |
LI Chang-hui |
青岛大学附属医院关节外科, 山东 青岛 266000
日照市人民医院骨科, 山东 日照 276826 |
Department of Joint Surgery, Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, China |
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| 林顺华 |
LIN Shun-hua |
青岛大学附属医院关节外科, 山东 青岛 266000
日照市人民医院骨科, 山东 日照 276826 |
Department of Joint Surgery, Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, China |
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| 王英振 |
WANG Ying-zhen |
青岛大学附属医院关节外科, 山东 青岛 266000 |
Department of Joint Surgery, Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, China |
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| 期刊信息：《中国骨伤》2017年30卷，第6期，第508-512页 |
| DOI：10.3969/j.issn.1003-0034.2017.06.005 |
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目的：观察人工全膝关节置换术治疗僵硬膝关节的临床效果及其影响因素。
方法：选取2010年1月至2014年10月采用人工全膝关节置换术治疗的20例（25膝）僵硬膝关节患者，其中男2例（3膝），女18例（22膝）；年龄55～78岁，平均（64.5±4.9）岁；病程5～21年，平均8.3年。观察并比较手术前后HSS评分、并发症发生情况及关节活动范围（ROM）.
结果：20例患者获得随访，时间12～69个月，平均35.3个月。术后10例患者出现并发症。HSS评分由术前的32.36±12.31提高至术后的80.70±18.52，两者比较差异有统计学意义。本组优7膝，良15膝，可3膝。膝关节ROM由术前的（39.4±5.3）°提高至末次随访时的（92.5±11.2）°。
结论：僵硬膝关节行人工膝关节置换术是可行的，术后可获得满意的膝关节活动范围及功能。 |
| [关键词]:膝关节 关节成形术，置换 人工膝关节 肌僵硬 |
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| Clinical efficiency and activity range of stiff knee by total knee arthroplasty |
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Abstract:
Objective: To observe clinical effect and influencing factor of total knee arthroplasty (TKA) for the treatment of stiff knee.
Methods: From January 2010 to October 2014,20 patients(25 knees) with stiff knee were treated with TKA. Among them,including 2 males(3 knees) and 18 females(22 knees),aged from 55 to 78 years old with an average of(64.5±4.9) years old,the courses of disease ranged from 5 to 21 years with an average 8.3 years. Preoperative and postoperative HSS (hospital for special surgery knee score) score,activity range and complications were observed and compared.
Results: All patients were followed up from 12 to 69 months with an average of 35.3 months. Ten patients occurred complications after operation. HSS score was improved from 32.36±12.31 preoperatively to 80.70±18.52 postoperatively,and had statistical difference between two groups;7 knees obtained excellent results,15 knees good and 3 knees moderate. Activity range was improved from(39.4±5.3)°preoperatively to (92.5±11.2)° at the latest follow up.
Conclusion: Total knee arthroplasty for stiffness knees is feasible and could obtain satisfied activity range and function. |
| KEYWORDS:Knee joint Arthroplasty,replacement Knee prosthesis Muscle rigidity |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王元吉,李常辉,林顺华,王英振.僵硬膝关节行人工全膝关节置换的效果及关节活动范围影响分析[J].中国骨伤,2017,30(6):508~512 |
| 英文格式: | WANG Yuan-ji,LI Chang-hui,LIN Shun-hua,WANG Ying-zhen.Clinical efficiency and activity range of stiff knee by total knee arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2017,30(6):508~512 |
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