中国组织工程研究

中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (22): 4097-4100.doi: 10.3969/j.issn.1673-8225.2010.22.027

• 骨与关节学术探讨 academic discussion of the bone and joint • 上一篇    下一篇

膝关节初次置换的策略与疗效

梁伟之，齐  峰，姚  栋，李会军，李东利   

  1. 武警山西总队医院骨科，山西省太原市  030006
  • 出版日期:2010-05-28 发布日期:2010-05-28
  • 作者简介:梁伟之，男，1967年生，副主任医师，主要从事关节及脊柱外科。 Sxyun@163.com

Strategy and efficacy of primary knee replacement

Liang Wei-zhi, Qi Feng, Yao Dong, Li Hui-jun, Li Dong-li   

  1. Department of Orthopedics, Shanxi Armed Police Corps Hospital, Taiyuan  030006, Shanxi Province, China
  • Online:2010-05-28 Published:2010-05-28
  • About author:Liang Wei-zhi, Associate chief physician, Department of Orthopedics, Shanxi Armed Police Corps Hospital, Taiyuan 030006, Shanxi Province, China Sxyun@163.com

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306

被引次数

3

摘要：

目的：探讨影响膝关节骨性关节炎初次置换疗效原因与对策。
方法：由第一作者应用计算机检索维普数据库，检索时限为1994-01/2009-10。检索关键词：膝关节，骨性关节炎，膝关节置换，深静脉血栓，感染，假体松动。共保留相关文献22篇进行分析。
结果：不同患者应根据病情、关节限制程度、固定方式和半月板功能来选择不同的人工膝关节。 膝关节置换前指导康复训练、严格无菌操作，预防性抗生素使用、术后确切止痛，早期关节活动仪的使用，预防深静脉血栓形成药物的应用等是提高患者主观满意度、关节活动度恢复最佳的重要环节。
结论：随着外科技术的发展和高质量假体的不断开发，人工膝关节置换技术不断进步，但许多细节问题有待深入研究。

关键词: 膝关节, 骨性关节炎, 人工关节置换, 并发症, 医学植入体

Abstract:

OBJECTIVE: To investigate the factor impacting the initial effect of replacement for osteoarthritis of the knee and the countermeasures.
METHODS: A computer-based online search of VIP database was performed for articles published between January 1994 and October 2009, with the key words “knee joint, osteoarthritis, knee joint replacement, deep venous thrombosis, infection, prosthesis loosening”. A total of 22 articles were included and analyzed. 
RESULTS: Artificial knee joint was selected according to condition of disease, joint limitation range, fixation pattern and meniscus functions. Guiding the knee rehabilitation, strictly aseptic operation, the use of preventive antibiotics can prevent infection, postoperative pain precise, and early functional training, and application of drugs for prevention of deep vein thrombosis drug can increase the certainty of subjective satisfaction, and improve recovery of joint activities.
CONCLUSION: With developing surgical techniques and prosthesis, artificial knee replacement is improved. However, many issues require further investigation.

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