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全膝关节置换术治疗内翻型膝骨关节炎

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目的 探讨全膝关节置换术(TKA)治疗内翻型膝骨关节炎(KOA)的疗效.方法 采用TKA治疗52 例内翻型KOA患者.记录手术情况、并发症发生情况、内翻角、疼痛VAS评分、膝关节KSS临床及功能评分.结果 患者均获得随访,时间10~15(12.6±1.9)个月.手术时间75~90(82.7±6.2)min,术中出血量40~80(65.5±10.2)ml,住院时间4~8(5.3±1.5)d.1 例发生下肢深静脉血栓.未发生感染、深静脉血栓、假体松动、假体周围骨折等并发症.末次随访时,膝部无肿胀,膝关节活动范围及步态正常,患肢无感觉及血运异常;内翻角、疼痛VAS评分、KSS临床评分及功能评分均较术前改善(P<0.05).结论 TKA能够有效矫正内翻型KAO患者下肢力线,缓解膝关节疼痛,改善膝关节功能.
Total knee arthroplasty for treatment of varus knee osteoarthritis
Objective To investigate the efficacy of total knee arthroplasty(TKA)in the treatment of varus knee oste-oarthritis(KOA).Methods A total of 52 patients with varus KOA were treated with TKA.Surgical outcomes,compli-cations occurrence conditions,varus angles,pain VAS,KSS score of knee joint were recorded.Results All patients were followed up for 10~15(12.6±1.9)months.The operation time was 75~90(82.7±6.2)min,the intraopera-tive blood loss was 40~80(65.5±10.2)ml,and the hospital stay was 4~8(5.3±1.5)d.Deep vein thrombosis of lower extremity occurred in 1 case.No case suffered from infection,deep vein thrombosis,prosthesis loosening,periprosthetic fracture and other complication.At the last follow-up,there was no swelling of the knee,with normal range of motion and gait of the knee joint,no sensation and abnormal blood circulation of the affected limb.Varus an-gle,pain VAS,KSS clinical score and functional score were improved,compared with those before operation(P<0.05).Conclusions TKA can effectively correct the lower limb alignment,relieve the knee joint pain,and improve the knee function in varus KAO patients.

knee osteoarthritisvarus typetotal knee arthroplasty

仲彪、吕书军、史少华

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海安市人民医院骨科,江苏 南通 226600

膝骨关节炎 内翻型 全膝关节置换术

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
年,卷(期):2024.27(6)