[1]杨光洲 黄振峰 付朝娟.两种平台假体在全膝关节置换术中的早期应用效果分析[J].中国中医骨伤科杂志,2017,25(01):55-57.
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两种平台假体在全膝关节置换术中的早期应用效果分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第25卷
期数:
2017年01期
页码:
55-57
栏目:
临床报道
出版日期:
2017-01-15

文章信息/Info

文章编号:
1005-0205(2017)01-0055-03
作者:
杨光洲1 黄振峰2 付朝娟3
1武汉市江夏区中医医院(武汉,430200) 2华中科技大学同济医学院附属同济医院 3华中科技大学同济医学院附属协和医院
关键词:
人工关节置换术 假体 疗效 全膝关节置换术
分类号:
R681.4
文献标志码:
B
摘要:
目的:回顾分析两种平台假体在全膝关节置换术中的早期临床疗效。方法:收集本院2010年1月至2012 年12月收纳的63例膝退行性骨关节炎患者,按平台假体选择分为观察组和对照组,观察组32例,对照组31例,观察组采用旋转平台假体,对照组采用固定平台假体。记录治疗前及治疗后6个月,1年,2年膝关节评分(KSS,HSS),膝关节最大屈曲度(ROM)等指标对两组患者的膝关节与功能恢复程度进行评估。观察两组患者治疗后是否有并发症发生且记录治疗过程中是否出现不良反应。结果:治疗前及治疗后6个月,1年,2年KSS膝评分P值分别为0.734,0.819,0.543,0.761; HSS评分P值分别为0.733,0.361,0.2533,0.331; ROM随访P值为0.521,0.645,0.174,0.275; 差异均无统计学意义。观察组术后并发症发生率为6.3%,对照组术后并发症发生率为9.7%,P值分别为0.38,0.44,差异无统计学意义(P>0.05)。结论:固定膝关节假体及旋转膝关节假体对退行性骨关节炎患者均有不错疗效,预后良好,早期临床疗效差异无统计学意义。

参考文献/References:

[1] Filardo G,Kon E,Buda R,et al.Platelet-rich plasma intra-articularknee injections for the treatment of degenerative cartilagelesions and osteoarthritis[J].Knee Surg Sports Traumatol Arthrosc,2011,19(4):528-535.
[2] Bruyère O,Ethgen O,Neuprez A,et al.Health-related qualityof life after total knee or hip replacement for osteoarthritis:a 7-year prospective study[J].Arch Orthop Trauma Surg,2012,132(11):1583-1587.
[3] Kasahara Y,Majima T,Kimura S,et al.What are the causesof revision total knee arthroplasty in Japan[J]? Clin Orthop RelatRes,2013,471(5):1533-1538.
[4] Bozic KJ,Kurtz SM,Lau E,et al.The epidemiology of revisiontotal knee arthroplasty in the United States[J].Clin OrthopRelat Res,2010,468(1):45-51.
[5] Bourne RB,Chesworth BM,Davis AM,et al.Patient satisfactionafter total knee arthroplasty:who is satisfied and who is not[J]? Clin Orthop Relat Res,2010,468(1):57-63.
[6] Fu Y,Wang G,Fu Q.Patellar resurfacing in total knee arthroplastyfor osteoarthritis:a meta-analysis[J].Knee Surg SportsTraumatol Arthrosc,2011,19(9):1460-1466.
[7] Li ZJ,Zhang K,Kim TK.Mobile-and fixed-bearing total kneearthroplasty for knee osteoarthritis:Comparisons of early clinicaloutcomes[J].J Clin Rehabilitative Tissue Eng Res,2013,12:9589-9593.
[8] Jacobs WC,Christen B,Wymenga AB,et al.Functional performanceof mobile versus fixed besaring total knee prostheses:arandomised controlled trial[J].Knee Surgery Sports Traumatology Arthroscopy,2013,20(8):1450-1455.
[9] Nakamura E,Banks SA,Tanaka A,et al.Three-dimensionaltibiofemoral kinematics during deep flexion kneeling in a mobile-bearing total knee arthroplasty[J].J Arthroplasty,2009,24(7):1120-1124.
[10] Bugbee WD,Ammeen DJ,Parks NL,et al.4-to-10-year results with the anatomic modular total knee[J].Clin Orthop Relat Res,1998,348:158-165
[11] Colizza WA,Insall JN,Sederi GR.The posterior stabilized total knee prosthesis; asssessmentof polyethylene damage and osteolysis after a ten-year-minimum follow-up[J].J Bone Joint Surg Am,1995,77(11):1713-1720.
[12] Haide H,Garvin K.Rotating platform versus fixed-bearing total knees; an in vitro study of wear[J].Clin Orthop Relat Res,2008,466(11):2677-2685.
[13] Most E,Li G,Schule S,et al.The kinematics of fixed-and mobile-bearing total knee arthroplasty[J].Clin Orthop Relat Res,2003,416:197-207.
[14] D-Lima DD,Trice M,Urquhart AG,et al.Comparison between the kinematics of fixed and rotating bearing knee prostheses[J].Clin Orthop Relat Res,2000,380:151-157.
[15] Shi K,Hayashida K,Umeda N,et al.Kinematic comparison between mobile-bearing and fixed-bearing inserts in NexGen legacy posterior stabilized flex total knee arthroplasty[J].J Arthroplasty,2008,23(2):164-169.

更新日期/Last Update: 2017-01-15