髌骨外侧支持带松解术对保留髌骨型全膝关节置换术疗效  

Influence of lateral release to the clinical outcomes after total knee arthroplasty without patellar resurfacing

作　　者：游镇君 朱锦宇 吴可沁 蒋毅 YOU Zhenjun;ZHU Jinyu;WU Keqin;JIANG Yi(Department of Orthopedics,the First Hospital of Jiaxing in Zhejiang Province,Jiaxing 314000,Zhejiang,China)

机构地区：[1]嘉兴市第一医院骨科,浙江嘉兴3140001

出　　处：《中国现代医生》2024年第8期64-67,共4页China Modern Doctor

摘　　要：目的探讨常规松解髌骨外侧支持带对保留髌骨型全膝关节置换术疗效的影响。方法本研究采用随机数字表法分为两组,本治疗组43例采用外侧支持带松解术,对照组为42例患者均未采取松解术治疗。对两组膝前痛、患者的满意程度、美国膝关节外科协会(Knee Surgery Society,KSS)膝评分和功能评分、髌骨评分以及手术后的并发症发生率等进行评估。结果在术后24个月的随访结果中发现,治疗组明显降低了膝前痛的发生率(P<0.05)。此外,两组在手术后的满意度、并发症的发生率、KSS膝评分、KSS功能评分以及髌骨评分等多个方面进行了比较,差异均无统计学意义(P>0.05)。结论常规松解髌骨外侧支持带对保留髌骨型全膝关节置换术能够减轻膝前疼痛,同时不增加手术后并发症的风险。Objective To evaluate the influence of routine lateral release to the clinical outcomes after total knee arthroplasty without patellar resurfacing.Methods The study involved all patients divided into two groups using a randomised group method.During total knee arthroplasty(TKA),forty-three patients were treated with lateral release in the treatment group,while Forty-two patients in the control group were not treated with lateral release.Both groups were assessed for anterior knee pain,patient satisfaction,Knee Surgery Society(KSS)score,KSS function score,patella score,and incidence of postoperative complications.Results After 24 months of follow-up,the treatment group was found to have a lower incidence of anterior knee pain compared to the control group(P<0.05),and there were no statistically significant differences in postoperative satisfaction,complication rate,KSS knee score,KSS function score,and patella score between the two groups(P>0.05).Conclusion The study suggests that routine lateral release can reduce anterior knee pain and does not increase the risk of postoperative complications after total knee arthroplasty without patellar resurfacing.

关 键 词：髌骨外侧支持带松解 膝前痛 全膝关节置换 

分 类 号：R687.4[医药卫生—骨科学]