中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (35): 6612-6615.doi: 10.3969/j.issn.1673-8225.2010.35.038

• 骨与关节临床实践 clinical practice of the bone and joint • 上一篇    下一篇

全膝关节置换治疗中老年膝关节炎126例

张  军，郭克斌，熊元波   

  1. 襄樊市襄阳区人民医院骨科，湖北省襄樊市 441000
  • 出版日期:2010-08-27 发布日期:2010-08-27
  • 作者简介:张军，男，1978年生，湖北省襄樊市人，汉族，2001年同济医科大学郧阳医学院毕业，主治医师，主要从事创伤骨科、关节外科的研究。 529507046@qq.com

Total knee arthroplasty for knee arthritis in 126 middle-aged and elderly patients

Zhang Jun, Guo Ke-bin, Xiong Yuan-bo   

  1. Department of Orthopedic Surgery, Xiangyang People’s Hospital, Xiangfan  441000, Hubei Province, China
  • Online:2010-08-27 Published:2010-08-27
  • About author:Zhang Jun, Attending physician, Department of Orthopedic Surgery, Xiangyang People’s Hospital, Xiangfan 441000, Hubei Province, China 529507046@qq.com

PDF

457

被引次数

17

摘要：

背景：伴随膝关节疾病治疗领域的研究及拓展，全膝关节置换日益成为治疗中老年膝关节炎的最佳方案。
目的：观察全膝关节置换治疗中老年膝关节炎的临床疗效。
方法：选择2000-01/2008-07襄樊市襄阳区人民医院骨科收治的中老年膝关节炎患者126例，男74例，女52例；年龄51~83岁，平均63.9岁；其中严重骨性关节炎92例，创伤性关节炎19例，类风湿性关节炎15例，均行全膝关节置换。采用HSS评分标准对置换后膝关节进行评估，并观察有无并发症发生。
结果与结论：所有患者置换后均获随访，随访时间1~7年。本组患者置换后优118膝(77%)，良30膝(20%)，可5膝(3%)，优良率达97%。置换后人工膝关节完全能够满足日常生活需要，患者生活质量显著提高。5例双膝置换后下肢发生深静脉血栓形成，经抗凝及对症处理后痊愈。9例置换后短期(3个月内)发生膝关节疼痛，经体格检查膝关节无红肿、压痛，活动度基本正常，摄X射线平片提示假体位置良好，行股神经封闭并配合物理治疗后症状缓解。提示全膝关节置换治疗中老年膝关节炎临床疗效良好。

关键词: 全膝关节置换, 膝关节炎, 治疗, 中老年, 并发症

Abstract:

BACKGROUND: With the investigation and development of knee joint disease, total knee arthroplasty has increasingly become the optimal strategy of treating severe knee arthritis in middle-aged and elderly patients.
OBJECTIVE: To evaluate the clinical effect of total knee arthroplasty for treatment of knee arthritis in middle-aged and elderly patients.
METHODS: From January 2000 to July 2008, 126 patients with arthritis were treated in Department of Orthopedic Surgery, Xiangyang People’s Hospital, including 74 males and 52 females, aged 63.9 years (51-83 years), 92 cases of severe osteoarthritis, 19 of traumatic arthritis, and 15 of rheumatoid arthritis. All patients underwent total knee arthroplasty, and the effect was evaluated using HSS scores. The complications were also observed.
RESULTS AND CONCLUSION: All patients were followed up from 1 year to 7 years. Among 126 patients, excellent  results  were achieved in 118 knees (77%), good in 30 knees (20%), fair in 5 knees (3%), with an excellent and good rate of 97%. The artificial knee joint could meet the daily requirements and patient quality of life was significantly improved. In addition, 5 cases developed deep venous thrombosis and cured by treatment; 9 cases had knee joint pain within 3 months post-surgery, with no swelling but normal range of motion, and relieved by femoral nerve blocking and medication. Results showed that total knee arthroplasty obtained good clinical outcomes in treating knee arthritis in middle-aged and elderly patients.

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