后交叉韧带保留型和后稳定型全膝关节假体置换后早期关节遗忘度的对比  

Comparison of early joint amnesia degree after posterior cruciate-retaining and posterior stabilized total knee arthroplasty

作　　者：张辉[1] 李鸿[1] 李叶天[1] 陆鸣[1] 尹力[1] 高维陆[1] 刘敬军[1] 刘必全[1] 尹宗生[1] Zhang Hui;Li Hong;Li Yetian;Lu Ming;Yin Li;Gao Weilu;Liu Jingjun;Liu Biquan;Yin Zongsheng(Department of Joint Arthroplasty,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,Anhui Province,China)

机构地区：[1]安徽医科大学第一附属医院关节外科,安徽省合肥市230022

出　　处：《中国组织工程研究》2020年第30期4802-4806,共5页Chinese Journal of Tissue Engineering Research

基　　金：安徽省高校自然科学研究项目(KJ2018A0662),项目负责人:张辉。

摘　　要：背景:临床长期随访显示,后交叉韧带保留型与后稳定型假体置换后的膝关节活动度、10-15年假体生存率及主要临床表现等方面无明显区别,但针对两种膝关节假体孰优孰劣的争论依然存在。目的:对比后叉韧带保留型和后稳定型假体置换治疗单侧膝关节骨关节炎术后患者早期功能恢复的差别。方法:选择2018年7月至2019年9月安徽医科大学第一附属医院收治的60例膝关节骨关节炎患者,其中男13例,女47例,年龄46-83岁,其中30例接受后叉韧带保留型假体置换治疗,另30例接受后稳定型假体置换治疗。术后3个月及末次随访时,进行关节遗忘评分、膝关节功能HSS评分、目测类比评分与膝关节活动度评价。研究获得安徽医科大学第一附属医院伦理委员会批准。结果与结论:①60例患者获得5-16个月随访,随访期内均未出现假体周围感染、松动、脱位及僵硬等并发症;②术后3个月及末次随访时,两组间关节遗忘评分、膝关节功能HSS评分、目测类比评分与膝关节活动度比较差异均无显著性意义(P>0.05);③结果表明,后叉韧带保留型和后稳定型假体置换治疗单侧膝关节骨关节炎术后患者早期关节遗忘度无差别。BACKGROUND:Clinical long-term follow-up showed that there is no obvious difference in knee range of motion,10-15 year prosthesis survival rate,and main clinical manifestations after replacement of posterior cruciate-retaining and posterior stabilized prostheses.However,the debate over the superiority and inferiority of the two knee prostheses remains.OBJECTIVE:To compare the differences of early functional recovery of patients with unilateral knee osteoarthritis after posterior cruciate-retaining and posterior stabilized prosthesis replacement.METHODS:A total of 60 patients with knee osteoarthritis admitted to the First Affiliated Hospital of Anhui Medical University from July 2018 to September 2019 were selected,including 13 males and 47 females,aged 46-83 years old.Of them,30 patients received posterior cruciate-retaining prosthesis replacement,and 30 patients received posterior stabilized prosthesis replacement.At 3 months after operation and at the last follow-up,joint amnesia score,knee function HSS score,visual analogue scale score,and knee motion range were assessed.The study was approved by the Ethics Committee of the First Affiliated Hospital of Anhui Medical University.RESULTS AND CONCLUSION:(1)Sixty patients were followed up for 5-16 months,and no complications such as periprosthetic infection,loosening,dislocation,or stiffness occurred during the follow-up.(2)At 3 months after surgery and at the last follow-up,joint amnesia score,HSS scores,visual analogue scores,and knee motion range were not significantly different between the two groups(P>0.05).(3)The results showed that joint amnesia score was not significantly different in early stage after the posterior cruciate-retaining and posterior stabilized prosthesis replacement for unilateral knee osthoarthritis.

关 键 词：全膝关节置换 后叉韧带保留型 后稳定型 人工关节遗忘度评分 骨性关节炎 疼痛 膝关节活动度 HSS评分 

分 类 号：R459.9[医药卫生—治疗学] R314[医药卫生—临床医学]