后交叉韧带保留型和后稳定型全膝关节假体治疗晚期膝骨关节炎早期关节遗忘度评价  

Evaluation of joint amnesia in the treatment of advanced knee osteoarthritis with posterior cruciate ligament-preserved and posterior stabilized total knee prostheses

作　　者：高晨鑫 韩大鹏 丁浩源 姚捷 欧阳桂林 肖涟波 Gao Chenxin;Han Dapeng;Ding Haoyuan;Yao Jie;Ouyang Guilin;Xiao Lianbo(Department of Joint Surgery,ShangHai GuangHua Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai,200052,China)

机构地区：[1]上海中医药大学附属光华医院关节外科,上海200052

出　　处：《生物骨科材料与临床研究》2023年第4期46-50,共5页Orthopaedic Biomechanics Materials and Clinical Study

基　　金：上海市长宁区卫生健康委员会项目(20214Z001)。

摘　　要：目的比较后交叉韧带保留型和后稳定型全膝关节假体治疗晚期膝骨关节炎的早期膝关节功能评分与关节遗忘度评分,评价并分析两类假体在早期关节遗忘度评分方面的差异。方法采用回顾性队列研究上海中医药大学附属光华医院关节外科2016年10月至2020年10月期间行全膝人工关节置换术患者共172例。按不同假体类型进行分组,其中CR组共84例、PS组共88例,出院后对患者术后1、3、6、12、24个月进行门诊复查,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。结果①172例患者均随访24~40个月,平均(32.03±5.01)个月,期间均未出现假体周围感染、松动、脱位及僵硬等并发症;②HSS评分:术后2年CR组与PS组HSS评分均明显好于术前,差异具有统计学意义(P<0.001),两组患者术后2年膝关节HSS评分改善程度差异无统计学意义(P>0.05)。③VAS评分:术后2年CR组与PS组VAS评分均明显好于术前,且差异具有统计学意义(P<0.001),两组患者术后2年VAS评分的改善程度差异无统计学意义(P>0.05)。④FJS-12评分:术后3个月的关节遗忘度评分两组间比较差异无统计学意义,但术后6、12、24个月的CR组关节遗忘度评分均高于PS组,差异有统计学意义(P<0.001)。结论①两类假体均可有效改善晚期膝骨关节炎的功能、疼痛评分;②CR假体除了可保持与PS假体相同的改善膝关节功能、疼痛评分外,尚可有效提高患者术后遗忘人工假体存在等主观感受,提升患者的“本体感觉”。Objective To compare the early knee function score and forgotten joint score of posterior cruciate ligament-preserved and posterior stabilized total knee prostheses in the treatment of advanced knee osteoarthritis,and to evaluate and analyze the differences between the two types of prostheses in the early articular amnesia score.Methods A total of 172 patients who underwent total knee arthroplasty in the department of joint surgery,ShangHai GuangHua Hospital of Integrated Traditional Chinese and Western Medicine from October 2016 to October 2020 were retrospectively analyzed.The patients were grouped according to different types of prostheses.There were 84 patients in the CR group and 88 patients in the PS group.Outpatient follow-up was performed at 1,3,6,12 and 24 months after discharge.Forgotten joint score,knee function HSS score,visual analog score and knee range of motion were used to evaluate the effect.Results①172 patients were all followed up for more than 24 to 40 months,with an average follow-up time of(32.03±5.01)months,during which there were no complications such as periprosthetic infection,loosening,dislocation and stiffness.②HSS score:The HSS scores of both the CR group and the PS group were significantly improved compared to preoperative levels after 2 years of follow-up,and there was a significant statistical difference(P<0.001)between the two groups.There was no significant statistical difference(P>0.05)in the improvement of HSS scores between the two groups of patients after 2 years of surgery.③VAS score:The VAS scores of both the CR group and the PS group were significantly improved compared to the preoperative levels after 2 years of follow-up,and there was a significant statistical difference(P<0.001)between the two groups.There was no significant statistical difference(P>0.05)in the improvement of VAS scores between the two groups of patients after 2 years of surgery.④FJS-12 score:There was no statistical difference in FJS-12 scores 3 months after surgery,but the CR group had highe

关 键 词：全膝关节置换术 后交叉韧带保留型假体 后稳定型假体 人工关节遗忘度评分 膝骨关节炎 

分 类 号：R684.3[医药卫生—骨科学]