[1]刘金柱,环大维,张长昊,等.全膝关节置换术治疗膝外翻畸形19例[J].中国中医骨伤科杂志,2022,30(01):65-69+73.
　LIU Jinzhu,HUAN DaweiZHANG Changhao,QIU Yue,et al.19 Cases of Clinical Study on Total Knee Arthroplasty in Treating Valgus Knee Deformity[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(01):65-69+73.
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全膝关节置换术治疗膝外翻畸形19例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年01期
页码:
65-69+73
栏目:
临床报道
出版日期:
2022-01-15

文章信息/Info

Title:
19 Cases of Clinical Study on Total Knee Arthroplasty in Treating Valgus Knee Deformity
文章编号:
1005-0205(2022)01-0065-05
作者:
刘金柱1; 环大维1; 张长昊1; 邱越1; 夏天卫1△; 沈计荣1△
1南京中医药大学附属医院骨伤科(南京,210029)
Author(s):
LIU Jinzhu1; HUAN Dawei1ZHANG Changhao1; QIU Yue1; XIA Tianwei1△; SHEN Jirong1△
1Department of Orthopaedics,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China.
关键词:
外翻膝;  全膝关节置换;  髂胫束;  软组织平衡
Keywords:
valgus knee;  total knee arthroplasty;  iliotibial band;  soft tissue balance
分类号:
R687.4
文献标志码:
B
摘要:
目的:探讨全膝关节置换术治疗膝关节外翻畸形的效果。方法:自2017年3月至2020年8月应用全膝关节置换术治疗19例(20个)膝关节外翻畸形。术前、术后1周均借助X线测量胫股角(FTA),术前、术后1周及术后12个月随访时使用KSS膝评分评估膝关节功能。结果:术前FTA平均为18.68°±7.82°,术后1周平均为5.44°±3.82°。术前KSS膝评分平均为(61.05±7.34)分,术后1周KSS膝评分平均为(71.55±4.34)分,术后1年随访KSS膝评分为(79.85±6.15)分。所有病例在术中及术后均未发生腓总神经损伤、感染、髌骨脱位。结论:全膝关节置换术治疗膝关节外翻畸形临床效果满意。术中需要注意选择合适的皮肤切口(严重外翻膝畸形选用前外侧切口),进行合适的软组织松解平衡并选择合适的膝关节假体,进行合适的股骨截骨定位。
Abstract:
Objective:To investigate the efficacy of total knee arthroplasty on the treatment of valgus deformity of the knee.Methods:19 patients(20 cases)of valgus deformity were treated by total knee arthroplasty from March 2017 to August 2020.The femoral and tibial angles(FTA)were measured by radiography before and 1 week after operation.The knee function was evaluated by KSS score before operation,1 week after operation and 12 months after operation.Results:The mean FTA was 18.68°±7.82° before operation.The mean FTA was 5.44°±3.82° 1 week after operation.The mean score of KSS was(61.05±7.34)before operation.The mean score of KSS was(71.55±4.34)1 week after operation,and the mean score of KSS was(79.85±6.15)1 year after operation.There were no common peroneal nerve injury,infection and patellar dislocation in all cases.Conclusion:The clinical efficacy of total knee arthroplasty on the treatment of valgus deformity of knee joint is satisfactory.Attention should be paid to proper skin incision(anterolateral incision for severe valgus knee joint deformity),the proper soft tissue release and balance,the proper knee joint prosthesis and proper femoral osteotomy.

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备注/Memo

备注/Memo:
△通信作者 夏天卫:E-mail:1263638610@qq.com
沈计荣:E-mail:joint66118@sina.com
更新日期/Last Update: 2022-01-18