中年膝骨性关节炎全膝关节置换中应用旋转高屈曲型假体的特点  

Characteristics of rotating high-flexion prosthesis for the middle-aged patients with knee osteoarthritis in total knee replacement

作　　者：丘立标[1] 彭伟秋[1] 李富明[1] 程珂琳[1] 韦钊兰 韦朝喜 

机构地区：[1]柳州市人民医院,广西壮族自治区柳州市545006

出　　处：《中国组织工程研究》2016年第17期2467-2473,共7页Chinese Journal of Tissue Engineering Research

摘　　要：背景:人工全膝关节置换是膝关节骨性关节病终末期的主要治疗手段,如何根据患者的不同情况来选择假体置换,是目前关节外科领域关注的焦点之一。目的:评价人工全膝关节置换中使用旋转高屈曲型假体治疗中年骨性关节炎的中短期临床疗效。方法:回顾性分析柳州市人民医院2009年1月至2013年1月旋转高屈曲型假体治疗的中年骨性关节炎患者48例55膝。结果与结论:148例患者置入后获得23-42个月随访,平均(24.0±2.7)个月;2置入后患者膝关节活动度和美国特种外科医院膝关节评分明显增加,且末次随访美国特种外科医院膝关节评分优良率为85.4%;3所有患者无假体植入后感染、松动脱位等严重并发症发生。4结果提示旋转高屈曲型假体疗效确切,置入后关节活动度高,更符合人体自然的运动模式,假体寿命使用长,且翻修率较低,对需要有高屈曲活动的患者来说是一种较为理想的方法。BACKGROUND：Total knee replacement is the main treatment for the end of the knee joint disease.How to choose prosthesis replacement according to the different situations of the patient is one of the focuses in the field of joint surgery.OBJECTIVE：To evaluate middle or short term effects of rotating high-flexion prosthesis for the middle-aged patients with osteoarthritis of knee in total knee replacement.METHODS：We retrospectively analyzed 48 osteoarthritis patients（55 knees） undergoing total knee replacement with rotating high-flexion prosthesis in the Liuzhou People＇s Hospital from January 2009 to January 2013.RESULTS AND CONCLUSION：（1） Forty-eight patients were followed up for 23-42 months,mean（24±2.7） months.（2） Knee range of motion and Hospital for Special Surgery knee score were significantly increased after implantation.The excellent and good rate of Hospital for Special Surgery knee score was 85.4%.（3） No infection,loosening or dislocation occurred in all patients.（4） These findings suggest that curative effect of rotating high-flexion prosthesis is definite.After implantation,the range of motion was high,which was accorded with movement pattern of the human body.Prosthesis has a long life,and its repair rate is low.It is an ideal method for the middle-aged patients who want to perform high-flexion activities.

关 键 词：生物假体 膝关节 组织工程 骨科植入物 人工假体 膝 骨关节炎 全膝关节置换 不良反应 

分 类 号：R318[医药卫生—生物医学工程]