中国组织工程研究

中国组织工程研究 ›› 2014, Vol. 18 ›› Issue (17): 2758-2761.doi: 10.3969/j.issn.2095-4344.2014.17.023

• 人工假体 artificial prosthesis • 上一篇    下一篇

全膝关节置换后早期疗效：3种假体的比较

张  忠1，张海森2，张  冰3，张英泽3，吕  龙4，马世云2，王怀良2   

  1. 1乌海市人民医院骨科，内蒙古自治区乌海市  016000
    2沧州市中心医院骨科，河北省沧州市  061001
    3 河北医科大学第三医院骨科，河北省石家庄市  050051
    4内蒙古自治区医院骨科，内蒙古自治区呼和浩特市  010017
  • 修回日期:2014-02-15 出版日期:2014-04-23 发布日期:2014-04-23
  • 通讯作者: 张冰，副主任医师，河北医科大学第三医院骨科，河北省石家庄市 050051
  • 作者简介:张忠，乌海市人民医院骨科，内蒙古自治区乌海市 016000

Early clinical efficacy in total knee arthroplasty: comparison of three types of prosthesis

Zhang Zhong1, Zhang Hai-sen2, Zhang Bing3, Zhang Ying-ze3, Lü Long4, Ma Shi-yun2, Wang Huai-liang2   

  1. 1Department of Orthopedics, People’s Hospital of Wuhai, Wuhai 016000, Inner Mongolia Autonomous Region, China
    2Department of Orthopedics, Cangzhou Central Hospital, Cangzhou 061001, Hebei Province, China
    3Department of Orthopedics, Third Hospital of Hebei Medical University, Shijiazhuang  050051, Hebei Province, China
    4Department of Orthopedics, Inner Mongolia Autonomous Region Hospital, Hohhot 010017, Inner Mongolia Autonomous Region, China
  • Revised:2014-02-15 Online:2014-04-23 Published:2014-04-23
  • Contact: Zhang Bing, Associate chief physician, Department of Orthopedics, Third Hospital of Hebei Medical University, Shijiazhuang 050051, Hebei Province, China
  • About author:Zhang Zhong, Department of Orthopedics, People’s Hospital of Wuhai, Wuhai 016000, Inner Mongolia Autonomous Region, China

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摘要：

背景：全膝关节置换中选择何种假体目前仍存在争议。
目的：探讨传统固定平台、旋转移动平台以及高屈曲衬垫膝关节假体置换后的早期疗效。 
方法：回顾分析2006年1月至2009年12月间接受以上3种假体进行初次人工全膝关节置换的重度骨关节炎患者的资料，比较3组患者置换前及置换后3个月、6个月、1年以及1年以后的KSS评分，SF-36健康调查量表评分以及最大膝关节屈曲度。 
结果与结论：所有例患者均获随访。3组患者全膝关节置换后的KSS评分、SF-36量表评分以及最大膝关节屈曲度较置换前明显改善(P < 0.05)；置换后同一时间点组间及组内比较差异无显著性意义(P > 0.05)。提示，3种假体对于中晚期膝关节炎患者的早期治疗效果优良，患者满意度佳，可以在一定程度上改善膝关节屈曲度；但未发现3者在早期疗效、患者的主观满意度以及早期关节活动度的改善上存在显著差异。


中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程


全文链接：

关键词: 植入物, 人工假体, 全膝关节置换, 固定平台, 旋转平台, 高屈曲假体, 早期疗效, 满意度, 屈曲度

Abstract:

BACKGROUND: The choice of prosthesis in total knee arthroplasty is still controversial.
OBJECTIVE: To observe the early clinical efficacy of conventional fixation platform, rotation mobile platform and high-flexion prosthesis in total knee arthroplasty.  
METHODS: The clinical data were analyzed retrospectively from patients undergoing primary total knee arthroplasty for osteoarthritis between January 2006 and December 2009. The KSS score, SF-36 score and maximal range of knee flexion in three groups were recorded at preoperative moment, postoperative 3, 6, 12 months and after 1 year.  
RESULTS AND CONCLUSION: All the involved patients were followed up. Compared with preoperative data, postoperative KSS score, SF-36 score and maximal range of knee flexion were significantly improved after arthroplasty (P < 0.05). There was no significant difference in KSS score, SF-36 score and maximal range of knee flexion between three groups at the same time and among different groups at respective time (P > 0.05). These three kinds of prostheses showed good and excellent clinical efficacy for osteoarthritis, the patients were satisfied, and maximal range of knee flexion was improved. But there is no significant difference on early clinical efficacy, subjective satisfaction of patients and maximal range of knee flexion among the three kinds of prosthesis.


中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程


全文链接：

Key words: arthroplasty, replacement, knee, prosthesis implantation, efficacy comparative study, quality of life

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