临床骨科杂志2024,Vol.27Issue(4) :505-508.DOI:10.3969/j.issn.1008-0287.2024.04.019

全膝关节置换术治疗膝关节重度内翻畸形

Total knee arthroplasty for treatment of severe varus deformity of knee

汪武祥 季贵柱 陈松 李嘉宇 杨洪彬
临床骨科杂志2024,Vol.27Issue(4) :505-508.DOI:10.3969/j.issn.1008-0287.2024.04.019

全膝关节置换术治疗膝关节重度内翻畸形

Total knee arthroplasty for treatment of severe varus deformity of knee

汪武祥 1季贵柱 1陈松 1李嘉宇 1杨洪彬1
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作者信息

  • 1. 西南医科大学附属医院骨与关节外科,四川泸州 646000
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摘要

目的 探讨全膝关节置换术(TKA)治疗膝关节重度内翻畸形的疗效.方法 采用TKA治疗21例膝关节重度内翻畸形患者.比较手术前后膝关节功能AKS评分、髋-膝-踝角(HKA)和膝关节屈曲活动度.结果 患者均获得随访,时间2~7年.术后疼痛均明显减轻或完全消除,X线检查显示膝关节内翻畸形有效矫正.末次随访时,HKA、膝关节屈曲活动度及AKS评分均大(高)于术前(P<0.05).结论 TKA治疗膝关节重度内翻畸形下肢力线矫正满意,关节活动恢复良好,功能满意.

Abstract

Objective To investigate the clinical effect of total knee arthroplasty(TKA)in patients with severe varus deformity of knee.Methods Twenty-one patients with severe varus deformity of knees were treated with TKA.AKS score of knee joint function,hip-knee-ankle angle(HKA),and knee flexion range of motion(ROM)were compared before and after arthroplasty.Results All cases were followed up for 2~7 years.The postoperative pain was signifi-cantly reduced or completely eliminated,and X-ray examination showed that the knee varus deformity was effectively corrected.At the last follow-up,the HKA,knee flexion ROM,and AKS scores were all greater(higher)than before surgery(P<0.05).Conclusions TKA for severe varus deformity of knee is satisfactory with lower limb alignment correction,joint activity recovery is good,and function is satisfactory.

关键词

内翻膝/全膝关节置换术

Key words

knee varus/total knee arthroplasty

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基金项目

四川省科技厅科研基金资助项目(2013JY0103)

出版年

2024
临床骨科杂志
安徽医科大学,安徽省医学会

临床骨科杂志

CSTPCD
影响因子:1.438
ISSN:1008-0287
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