膝关节表面置换术后关节粘连的原因、预防及治疗  

The Causes,Prevention and Treatment after Total Knee Arthroplasty

作　　者：赵希春 李欣 姜昊君 

机构地区：[1]山东省青岛市胶州中心医院,266300

出　　处：《中国卫生标准管理》2015年第12期180-181,共2页China Health Standard Management

摘　　要：目的探讨膝关节表面置换术后关节粘连的原因、原因及预防、治疗方法。方法随机选择40例我院骨科需行全膝关节表面置换术患者,观察患者术后疗效。结果术后患者总优良率为95.0%;术后膝关节活动度(>90°)显著高于术前,未发现感染、死亡患者。随访期半年至2年,发现6例关节粘连患者。全部患者膝关节前后向、内外向稳定性良好。结论全膝关节表面置换术能够明显改善患者关节功能,但术后并发症如关节粘连等应该引起重视,观察关节粘连出现原因,对于避免关节粘连具有重要的意义。Objective To explore the reasons of joint adhesion after knee arthroplasty, causes and prevention and treatment. Methods Randomly selected 40 cases of our hospital orthopedic requires total knee arthroplasty patients, the postoperative curative effect were observed. Results Postoperative patients with the fine rate was 95.0%： Postoperative knee joint activity （ 〉90° ） is significantly higher than preoperative, fbund no infection and death patients. Follow-up for half a year or two years, found that 6 patients with articular adhesion. All patients with knee joint to the inside and outside, before and after the stability is good. Conclusion Patients with total knee arthroplasty can obviously improve joint fimction, but the postoperative complications such as articular adhesion should be caused take seriously, observed articular adhesion reason, to avoid articular adhesion is of great importance.

关 键 词：全膝关节表面置换术 关节粘连 预防治疗措施 

分 类 号：R687.4[医药卫生—骨科学]