[1]庞呈祥,王一迪△,王亚楠,等.行髌骨置换的全膝关节置换术后髌骨倾斜角对患者早期疗效影响[J].中国中医骨伤科杂志,2024,32(08):1-6.[doi:10.20085/j.cnki.issn1005-0205.240801 ]
　PANG Chengxiang,WANG Yidi,WANG Yanan,et al.Efficacy of Patellar Tilt Angle on Early Patient Outcomes after Total Knee Arthroplasty with Patellar Replacement[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(08):1-6.[doi:10.20085/j.cnki.issn1005-0205.240801 ]
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行髌骨置换的全膝关节置换术后髌骨倾斜角对患者早期疗效影响()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年08期
页码:
1-6
栏目:
临床研究
出版日期:
2024-08-15

文章信息/Info

Title:
Efficacy of Patellar Tilt Angle on Early Patient Outcomes after Total Knee Arthroplasty with Patellar Replacement
文章编号:
1005-0205(2024)08-0001-06
作者:
庞呈祥1; 2; 王一迪1△; 王亚楠1; 2; 鞠昌军1; 2
1山东省文登整骨医院(山东 威海,264400)；2山东省中医骨伤研究院
Author(s):
PANG Chengxiang1; 2; WANG Yidi1△; WANG Yanan1; 2; JU Changjun1; 2
1Shandong Wendeng Orthopedic Hospitol,Weihai 264400,Shandong China; 2Shandong Institute of Orthopedics and Traumatology,Weihai 264400,Shandong China.
关键词:
全膝关节置换术;  髌骨置换;  膝骨关节炎;  髌骨倾斜角;  膝前痛
Keywords:
total knee arthroplasty(TKA);  patellar replacement;  knee osteoarthritis;  patellar tilt angle;  anterior knee pain
分类号:
R687.4
DOI:
10.20085/j.cnki.issn1005-0205.240801
文献标志码:
A
摘要:
目的:分析行髌骨置换的全膝关节置换术(TKA)后髌骨倾斜角对患者早期疗效的影响。方法:回顾性分析2022年2月至2023年1月97例终末期膝骨关节炎患者,所有患者均接受全膝关节置换术髌骨置换。男43例,女54例; 年龄为(65.45±5.80)岁(60～85岁)。根据术后髌骨倾斜角度的大小,将其分为两组:倾斜角<10°为轻度倾斜组(73例),倾斜角≥10°为重度倾斜组(24例)。术后1,6,12个月门诊随访,观察并记录患者的膝前痛(AKP)、美国特种外科医院(HSS)评分及髌骨Feller评分,比较全膝关节置换术髌骨置换后不同髌骨倾斜度组患者术后早期膝前痛及膝关节功能情况。结果:患者全部随访,随访时间为(1.56±0.35)年(1.0～2.0年)。患者基线资料组间差异无统计学意义(P>0.05)。两组患者术后1,6,12个月的膝前痛评分、HSS评分及髌骨Feller评分均高于术前,差异有统计学意义(P<0.05)。轻度倾斜组患者术后1,6,12个月的膝前痛评分、HSS评分及髌骨Feller评分均高于重度倾斜组,差异有统计学意义(P<0.05)。结论:全膝关节置换术髌骨置换后遗留髌骨倾斜会增加膝前痛,限制膝关节功能。
Abstract:
Objective:To investigate the efficacy of patellar tilt angle on early patient outcomes after total knee arthroplasty(TKA)with patellar replacement.Methods:97 patients with end-stage knee osteoarthritis who underwent TKA with patellar replacement from February 2022 to January 2023 were retrospectively analysed,43 males and 54 females,with an age of(65.45±5.80)years old(6085 years old).The patients were divided into two groups according to the magnitude of the postoperative patellar tilt angle:tilt angle <10° for the mild tilt group(73 cases)and tilt angle ≥10° for the severe tilt group(24 cases).The patients were monitored in the outpatient clinic at 1,6,and 12 months after surgery.The presence of anterior knee pain(AKP),the Hospital for Special Surgery(HSS)scores,and the patellofemoral Feller scores were recorded during the visits.And patients with different degrees of patellar tilt were compared with those with patellofemoral TKA.Postoperative anterior knee pain and knee function in patients with different degrees of patellar tilt in the TKA group were compared.Results:All patients were followed up for(1.56±0.35)years(1.02.0 years).There was no statistically significant difference between groups in the patients' baseline data(P>0.05).The AKP scores,HSS scores,and patellar Feller scores of the patients in both groups were higher than those of the preoperative period at 1,6,and 12 months after surgery,and the differences were statistically significant(P<0.05).The AKP scores,HSS scores,and patellar Feller scores of patients in the mild tilt group were higher than those of the severe tilt group at 1,6,and 12 months after surgery,and the differences were statistically significant(P<0.05).Conclusion:Residual patellar tilt after TKA with patellar replacement increases anterior knee pain and limits knee function.

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备注/Memo

备注/Memo:
基金项目:国家中医药管理局科技司共建科技项目(GZY-KJS-SD-2023-031) △通信作者 E-mail:1370368678@qq.com
更新日期/Last Update: 2024-08-05