[1]邹明明 喻长纯 杜兴升.发育性胫骨平台前倾骨性关节炎的人工膝关节置换术[J].中国中医骨伤科杂志,2018,26(05):68-71.
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发育性胫骨平台前倾骨性关节炎的人工膝关节置换术()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年05期
页码:
68-71
栏目:
临床报道
出版日期:
2018-05-02

文章信息/Info

文章编号:
1005-0205(2018)05-0068-04
作者:
邹明明1 喻长纯1 杜兴升1
1河南省洛阳正骨医院(河南省骨科医院)膝部损伤科
关键词:
胫骨 置换 人工关节 膝关节
分类号:
R687.4
文献标志码:
B
摘要:
目的:探讨发育性胫骨平台前倾骨性关节炎的人工膝关节置换术的治疗效果。方法:自2013年6月至2015年6月,对5例发育性胫骨平台前倾的骨性关节炎老年患者行全膝关节置换术:男3例,女2例; 年龄54~71岁,平均61岁。本组病人均为青少年期发病,3例有外伤史,1例为胫骨上段骨结核,1例为膝关节化脓性关节炎。病程43~59年,平均52年。本组均存在不同程度的胫骨平台前倾、胫骨近端后移、髌骨低位及股骨后髁发育不良,1例合并同侧股骨上段骨折畸形愈合,向前外侧轻度成角,肢体短缩5 mm; 1例既往骨结核病人合并胫骨上段向前侧弧形成角畸形。本组5例均应用后稳定型膝关节假体,均未行髌骨假体置换。结果:本组患者均获得随访,平均随访19个月(10~30个月)。全部患者膝关节功能恢复良好,无膝关节过伸、感染、膝关节不稳定等并发症。KSS膝关节评分由术前的平均33分提高到85分,功能评分由术前的平均27分提高到87分。影像学显示膝关节总体情况良好。结论:发育性胫骨平台前倾的骨性关节炎的人工膝关节置换术,采用适宜的假体、伸屈膝间隙平衡优先技术及良好的软组织平衡松解技术,改善了膝关节功能及髌骨轨迹,可以取得满意的治疗效果。

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更新日期/Last Update: 2018-05-02