初次全膝关节置换是否髌骨表面置换的比较
Primary total knee arthroplasty with or without patellar resurfacing
罗毅 1孙卫平 2李中军 2王海波 2郝福合 2王强 2韩敦鑫2
作者信息
- 1. 中国人民解放军联勤保障部队970医院烟台院区,山东烟台 264000
- 2. 中国人民解放军联勤保障部队970医院威海院区关节外科,山东威海 264200
- 折叠
摘要
[目的]比较初次人工全膝关节置换术(total knee arthroplasty,TKA)是否髌骨置换的早期临床疗效.[方法]回顾分析2018年2月—2020年12月本科室收治的45例(52膝)初次TKA治疗晚期骨关节炎患者的临床资料,根据医患沟通结果,24例(28膝)行髌骨置换,21例(24膝)未行髌骨置换.比较两组围手术期与随访结果.[结果]两组患者均顺利完成手术,两组手术时间、术中出血量、切口长度和术后下地时间的差异均无统计学意义(P＞0.05).两组患者均获得3个月以上随访,与术前相比,末次随访时两组患者的VAS和KSS评分均显著改善,末次随访时,两组间VAS评分[(1.6±1.0)vs(1.8±0.9),P=0.781]、KSS评分[(86.3±7.9)vs(84.6±7.9),P=0.865]的差异均无统计学意义(P＞0.05).[结论]初次TKA术是否行髌骨置换的早期疗效无明显差异.
Abstract
[Objective]To compare the early clinical outcomes of primary total knee arthroplasty(TKA)with or without patellar resur-facing.[Methods]A retrospective study was conducted on of 45 patients(52 knees)who received primary TKA for knee osteoarthritis in our departments from February 2018 to December 2020.According to doctor-patient discussion,24 patients(28 knees)had patellar resur-facing replacement,while other 21 patients(24 knees)had not patellar resurfacing replacement in TKA.The perioperative and follow-up re-sults were compared between the two groups.[Results]The operation was successfully completed in both groups,and there were no signifi-cant differences in operation time,intraoperative blood loss,incision length and postoperative ambulation between the two groups(P＞0.05).All patients in both groups were followed up for more than 3 months,and got significant improvement in terms of VAS and KSS scores at the last follow-up compared with those before surgery.However,there were no significant differences between the two groups in VAS score[(1.6±1.0)vs(1.8±0.9),P=0.781]and KSS score[(86.3±7.9)vs(84.6±7.9),P=0.865]at the latest follow-up.[Conclusion]There is no signif-icant difference in term of the early consequence of primary TKA with or without patellar resurfacing replacement.
关键词
初次全膝关节置换术/髌骨置换/髌骨成形术Key words
primary total knee arthroplasty/patellar resurfacing replacement/patelloplasty引用本文复制引用
出版年
2024
NETL
NSTL
万方数据