TKA治疗膝关节骨性关节炎238例临床分析  

Clinical analysis of TKA for treatment of 238 cases of knee joint osteoarthritis

作　　者：李盛春[1] 卫定禄 陈勇[1] 魏垒[2] 

机构地区：[1]山西医科大学第二医院骨科,山西太原030001 [2]美国布朗大学医学院罗德岛州医院骨科

出　　处：《中国骨与关节损伤杂志》2016年第2期146-148,共3页Chinese Journal of Bone and Joint Injury

基　　金：国家自然科学基金(31271033;81171676);山西省国际科技合作项目(2013081050);山西省科技攻关项目(20150313012-6)

摘　　要：目的 分析采用全膝关节置换术（TKA）治疗膝关节骨性关节炎（OA）的临床疗效。方法 笔者自2014-01—2014-12采用TKA治疗238例OA,采用膝关节功能HSS评分评价手术前后膝关节功能。结果 术后失访28例,210例获得随访平均10（3~15）个月,均无不良反应及严重并发症。患者术前HSS评分为（48.8±7.6）分,术后HSS评分为（93.7±3.6）分,手术前后HSS评分差异有统计学意义（Z=-12.569,P〈0.001）;术后膝关节伸屈活动度100°~140°（122.8±10.3）°,明显优于术前屈伸活动度15°~135°（81.7±20.1）°,差异有统计学意义（Z=-13.694,P〈0.001）。结论 TKA治疗OA是一种安全、高效的手段,能够极大程度地改善、消除患者所承受的痛苦,促进下肢运动功能的恢复,使患者的生活质量得到很大提高,是比较理想的治疗手段。Objective To analyze clinical curative effect of total knee arthroplasty （TKA） on knee joint osteoarthritis. Methods A total of 238 patients with knee osteoarthritis from the Second Hospital of Shanxi Medical University underwent total knee arthroplasty between January 2014 and December 2014. The knee function before and after operation were evaluated by HSS scoring criteria. Results Of the 238 cases, 210 cases were followed up for an average of 10（3-15） months. No adverse reactions occurred in all the patients. The HSS score after operation in the patients was 94 （Median） points which was higher than that before surgery 45（Median） points, the difference was significant（Z =-12.569, P 〈0.001）. The postoperative ranges of motion of the knees were 100°-140°（M =115°）, were significantly better （Z =-13.694,P 〈0.001） than that before operation 15° -135° （M =85°）. Conclusion Total knee replacement has a notable effectiveness and higher safety in the treatment of knee joint osteoarthritis, can relieve knee pain and improve knee function, greatly improve the quality of life. It is an ideal treatment.

关 键 词：全膝关节置换术 膝关节骨性关节炎 膝内翻 膝外翻 

分 类 号：R684.3[医药卫生—骨科学]