中国组织工程研究

中国组织工程研究 ›› 2012, Vol. 16 ›› Issue (35): 6565-6569.doi: 10.3969/j.issn.2095-4344.2012.35.021

• 骨与关节损伤基础实验 basic experiments of bone and joint injury • 上一篇    下一篇

膝内侧骨关节炎患者膝关节功能与不稳定性的关系

刘 锋1，张 君2，王文修1，张明强1，张志峰1，侯海涛1   

  1. 1长垣县人民医院骨科，河南省新乡市 453400；
    2新乡医学院第一附属医院骨科，河南省新乡市 453100
  • 收稿日期:2012-05-09 修回日期:2012-05-26 出版日期:2012-08-26 发布日期:2012-08-26
  • 作者简介:刘锋★，男，1966年生，河南省郑州市人，汉族，硕士，主治医师，主要从事脊柱与关节外科、创伤骨科的研究。 liufeng1237891@163.com

Relationship between the function and instability of the knee joint in patients with medial knee osteoarthritis

Liu Feng1, Zhang Jun2, Wang Wen-xiu1, Zhang Ming-qiang1, Zhang Zhi-feng1, Hou Hai-tao1   

  1. 1Department of Orthopedics, the People's Hospital of Changyuan County, Xinxiang 453400, Henan Province, China;
    2Department of Orthopedics, the First Affiliated Hospital of Xinxiang Medical College, Xinxiang 453100, Henan Province, China
  • Received:2012-05-09 Revised:2012-05-26 Online:2012-08-26 Published:2012-08-26
  • About author:Liu Feng★, Master, Attending physician, Department of Orthopedics, the People's Hospital of Changyuan County, Xinxiang 453400, Henan Province, China liufeng1237891@163.com

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摘要：

背景：膝内侧骨关节炎患者身体缺陷与骨性关节炎发展的关系尚不清楚。
目的：调查膝内侧骨关节炎患者的身体功能和膝关节不稳定性，探讨二者间的关系。
方法：纳入诊断性膝内侧骨关节炎患者104例，采用膝关节日常生活活动评估量表衡量膝关节不稳，功能的自我评估采用膝伤和骨性关节炎结果评分，应用计时爬梯试验评估基于体能的身体功能，并进行放射影像学评估。
结果与结论：不同程度膝关节不稳患者的内侧松弛度、外侧松弛度、对线角度、标准化最大随意等长收缩及爬梯时间比较差异无显著性意义(P > 0.05)。但不同程度膝关节不稳患者在疼痛、症状、日常生活活动、运动和膝关节相关生活质量子集得分方面差异有显著性意义(P < 0.05)。在膝内侧骨关节炎患者中，自报膝关节不稳与内侧松弛度、股四头肌无力、内翻对线无直接联系。

关键词: 内侧膝关节, 骨性关节炎, 身体功能, 不稳定性, 植入体

Abstract:

BACKGROUND: The relationship between physical defects and the development of medial knee osteoarthritis is not clear.
OBJECTIVE: To study the relationship between the physical function and the instability of knee joint in the patients with medial knee osteoarthritis.
METHODS: 104 patients diagnosed with medial knee osteoarthritis were included, knee outcome survey-activities of daily living scale was used to measure knee joint instability, functional self-assessment was performed with the knee injury and osteoarthritis score, body functions based on physical assessment was evaluated by timing ladder test, and the radiographic evaluation was performed.
RESULTS AND CONCLUSION: There was no significant difference of medial laxity, lateral laxity, diagonal, standardized maximal voluntary isometric contraction and stair climbing time between the patients with different degrees of knee instability (P > 0.05). While there was significant difference of pain, symptoms, activities of daily living, sports scores and the subsets of quality of life between the patients with different degrees of knee instability (P < 0.05). There was no direct correlation between the self-reported knee instability and the medial laxity, quadriceps femoris weakness and varus alignment in the patients with medial knee osteoarthritis.

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