高屈曲与非高屈曲固定平台稳定型假体行全膝关节置换术后疗效比较  

Comparison of effectiveness between high- flexion and ordinary fixing- platform posterior stabilized artificial knee prosthesis of total knee arthroplasty

作　　者：赵鹏[1] 殷力[1] 

机构地区：[1]郑州大学第一附属医院骨外科,郑州450052

出　　处：《医药论坛杂志》2015年第1期89-91,共3页Journal of Medical Forum

摘　　要：目的 比较高屈曲与非高屈曲固定平台后稳定型假体行人工全膝关节置换术（Total knee arthroplasty,TKA）后的疗效。方法 回顾性比较2006年3月至2009年9月在郑州大学第一附属医院采用高屈曲固定平台后稳定型假体（高屈曲组）与非高屈曲固定平台后稳定型假体（非高屈曲组）行初次单侧人工表面全膝关节置换241例患者的疗效。其中高屈曲组132例,非高屈曲组109例。241例患者随访3-8年（平均4年）。对纽约特种外科医院（The Hospital for Special Surgery,HSS）评分及活动度比较。结果 术后两组HSS评分比较,差异无统计学意义,而高屈曲组活动度大于非高屈曲组,差异有统计学意义。结论 高屈曲组TKA术后关节活动度大于非高屈曲组,但膝关节功能评分与非高屈曲组无差异。Objective To compare the effectiveness between high - flexion and ordinary fixing - platform posterior stabilized artificial knee prosthesis of total knee arthroplasty（TKA）. Methods Retrospectively compared 241 patients, who was carried out of TKA for the first time in our department, respectively implanted of high - flexion and ordinary fixing - platform posterior stabilized artificial knee prosthesis. The effectiveness were compared between the two groups. Results All patients were followed up 3 -8 years（mean： 4 years）. The HSS score and mobility were compared. There was no statistically significant difference in the HSS score between the two groups. But the mobility of high - flexion group was greater than that of the ordinary group. Conclusion The mobility of high - flexion fixing - platform posterior stabilized artificial knee prosthesis is greater than the ordinary prosthesis, but the HSS score has no obvious advantages.

关 键 词：高屈曲度 关节置换 膝 假体 

分 类 号：R684[医药卫生—骨科学]