两种髌骨处理方式在全膝关节置换术中的疗效比较
Comparison of the efficacy of two patellar treatment methods in total knee arthroplasty
程子梁 1朱晓旭 1吴伟山 2王象鹏 2吕文学 2尹纪光2
作者信息
- 1. 山东中医药大学第一临床医学院,山东 济南 250014
- 2. 山东中医药大学附属医院关节骨科,山东 济南 250014
- 折叠
摘要
目的 比较全膝关节置换术(TKA)中髌骨置换与髌骨成形联合去神经化的疗效.方法 将 60 例行TKA治疗的膝骨关节炎患者根据术中髌骨处理方式不同分为观察组(术中采用髌骨置换处理)和对照组(术中采用髌骨成形联合去神经化处理),各30 例.记录膝关节屈曲活动度及并发症发生情况,采用KSS临床评分、人工关节遗忘评分(FJS评分)评价疗效.结果 患者均获得12 个月随访.术后 12 个月KSS临床评分、膝关节屈曲活动度两组均较术前改善(P＜0.05),两组间比较差异均无统计学意义(P＞0.05).术后12 个月FJS评分观察组高于对照组(P＜0.05).膝前区疼痛发生率观察组低于对照组(P＜0.05).结论 在PS假体TKA治疗膝骨关节炎中,髌骨置换和髌骨成形联合去神经化均可以获得良好的临床疗效,但髌骨置换有人工关节遗忘评分较高和膝前区疼痛发生率较低的优势.
Abstract
Objective To compare the efficacy of patellar replacement and patellar plasty combined with denervation in total knee arthroplasty(TKA).Methods A total of 60 patients with knee osteoarthritis treated with TKA were di-vided into observation group(intraoperative patellar replacement was performed)and control group(intraoperative patellar plasty combined with denervation was performed)according to different patellar treatment methods,with 30 cases in each group.The range of motion of knee flexion and complications were recorded,and the efficacy was evalu-ated by KSS clinical score and artificial forgotten joint score(FJS).Results All patients were followed up for 12 months.At 12 months postoperation,the KSS clinical score and knee flexion activity of the two groups were improved,compared with those before operation(P＜0.05),and there were no differences between two groups(P＞0.05).At postoperative 12 months,FJS of the observation group was higher than the control group(P＜0.05),and the inci-dence rate of knee anterior region pain in the observation group was lower than that in the control group(P＜0.05).Conclusions In the treatment of knee osteoarthritis with TKA using PS prosthesis,both patellar replacement and pa-tellar plasty combined with denervation can achieve good clinical efficacy,but patellar replacement has the advantages of higher FJS and lower incidence rate of knee anterior region pain.
关键词
全膝关节置换/髌骨置换/关节遗忘评分Key words
total knee arthroplasty/patellar replacement/forgotten joint score引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据