中国伤残医学2024,Vol.32Issue(18) :49-53.DOI:10.13214/j.cnki.cjotadm.2024.018.013

间隙平衡法与测量截骨法对全膝关节置换术后患者疼痛程度与膝关节活动度及功能恢复的影响

Effect of Space Balance and Measurement Osteotomy on Pain Degree and Knee Motion and Functional Recovery of Patients after Total Knee Arthroplasty

王辛
中国伤残医学2024,Vol.32Issue(18) :49-53.DOI:10.13214/j.cnki.cjotadm.2024.018.013

间隙平衡法与测量截骨法对全膝关节置换术后患者疼痛程度与膝关节活动度及功能恢复的影响

Effect of Space Balance and Measurement Osteotomy on Pain Degree and Knee Motion and Functional Recovery of Patients after Total Knee Arthroplasty

王辛1
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作者信息

  • 1. 山东省肥城市人民医院骨科,山东 泰安 271600
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摘要

目的:比较间隙平衡法与测量截骨法对全膝关节置换术(TKA)后患者的影响.方法:选取 2022年 12月—2023年 12月肥城市人民医院收治的 60例行TKA患者为研究对象,随机分为对照组和研究组,各 30例.对照组术中予以测量截骨法,研究组术中予以间隙平衡法.对比两组围手术期指标、疼痛程度、膝关节活动度、膝关节功能恢复情况、膝关节稳定性、生活质量和并发症发生情况.结果:研究组术中出血量较对照组少,手术时间较对照组短,差异均有统计学意义(P<0.05).术后 3个月,研究组疼痛视觉模拟评分低于对照组,膝关节活动度、Lysholm膝关节功能评分、美国特种外科医院膝关节评分及健康调查简表中各个维度评分均高于对照组,差异均有统计学意义(P<0.05).研究组并发症发生率为6.67%,相较于对照组的 16.67%,差异无统计学意义(P>0.05).结论:与测量截骨法相比,TKA中应用间隙平衡法有助于缩短手术时间,减少术中出血量,减轻患者术后疼痛,提高膝关节活动度,恢复膝关节功能,提高膝关节稳定性,改善生活质量,且并发症较少,有一定的应用价值.

Abstract

Objective:To compare the effects of space balance and measurement osteotomy on total knee arthroplasty(TKA)patients.Methods:A total of 60 TKA patients admitted to Feicheng People's Hospital from December 2022 to December 2023 were selected as study objects and randomly divided into a control group and a study group,with 30 cases in each group.The control group was treated with osteotomy and the study group was treated with space balance.Perioperative indexes,pain degree,knee motion,knee functional recovery,knee stability,quality of life and complications were compared between the two groups.Results:The amount of blood loss and operation time in the study group were less than those in the control group,and the differences were statistically significant(P<0.05).After surgery,the visual analogue score of the study group was lower than that of the control group,and the scores of knee motion,Lysholm,Three months after surgery,the pain Visual Analog Scale of the study group was lower than that of the control group,and the knee motion,Lysholm knee function score,American Hospital for Special Surgery knee joint score and all dimension scores in the health survey summary table were higher than those of the control group,with statistical significance(P<0.05).The incidence of complications in the study group was 6.67%,compared with 16.67%in the control group,the difference was not statistically significant(P>0.05).Conclusion:Compared with measurement osteotomy,the application of gap balance in TKA can help shorten the operation time,reduce intraoperative blood loss,reduce postoperative pain,improve knee joint motion,restore knee joint function,improve knee joint stability,improve quality of life,and have certain application value with fewer complications.

关键词

全膝关节置换术/间隙平衡法/测量截骨法/生活质量/并发症

Key words

Total knee arthroplasty/Gap balance method/Measurement osteotomy/Quality of life/Complication

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出版年

2024
中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
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