全膝关节置换术对膝关节重度屈曲畸形的疗效系统评价  

Systematic evaluation of clinical effects of total knee arthroplasty for severe flexion deformity

作　　者：冯灿林[1] 寇伯龙[2] 戴才锋 刘燕新[1] 关信潮[1] 刘庆浩[1] 梁灿荣[1] 

机构地区：[1]广州市番禺区中医院骨科,511400 [2]北京大学人民医院骨科,100044

出　　处：《中华关节外科杂志（电子版）》2014年第4期56-59,共4页Chinese Journal of Joint Surgery(Electronic Edition)

摘　　要：目的探讨全膝关节置换术对重度屈曲畸形的临床治疗效果。方法跟踪随访于2010年12月至2013年12月在本组进行TKA手术的38例重度屈曲畸形患者,以主动关节活动度、徒手肌力检查、Muller膝关节稳定性评分和美国特种外科医院评价系统为临床指标,比较手术前及随访终末时的变化来衡量手术的疗效。结果术后主动关节活动度、徒手肌力检测、稳定性指标上明显大于术前,与术前比较差异具有统计学意义（P〈0.05）。38例均得到随访,随访时间4个月~2.5年,平均1年。术前HSS评分-5~34分,平均22.6分;术后61~89分,平均77.4分,差别有统计学意义（P〈0.05）。术后优良率达到63.16%。结论 TKA手术对膝关节重度屈曲畸形获得满意效果,是临床治疗的有效方法。Objective To investigate the clinical effects of total knee arthroplasty （ TKA ） for severe flexion deformity .Methods 38 patients who underwent TKA in our hospital from December 2010 to December 2013, were selected.The therapeutic effects were evaluated via the active range of motion , manual muscle testing , Muller knee stability rating and Hospital for Special Surgery of US .Results The AROM, MMT and Muller scores after the operation were significantly higher than the preoperative ones ;the differences were statistically significant （P〈0.05）.Every patient was followed up .The mean follow-up time was one year （range, 4 months to 2.5 years）.The mean HSS scores of the knee joint were 18.0 points in the preoperative period and 56.7 points in the postoperative period .The results showed statistical significance （P〈0.05）.The choiceness rate was 63.16%.Conclusion TKA could achieve satisfactory results for the severe flexion deformity of the knee;it is an effective clinical treatment .

关 键 词：屈曲畸形 关节成形术 置换 膝 活动范围 关节 

分 类 号：R687.4[医药卫生—骨科学]