Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (15): 2310-2316.doi: 10.3969/j.issn.2095-4344.2585
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Tang Jinlong1, Yang Guanjie1, Liu Lei1, Xu Shizhuang2, Zhao Fengchao1
Received:
2019-03-26
Revised:
2019-04-03
Accepted:
2019-05-23
Online:
2020-05-28
Published:
2020-03-20
Contact:
Zhao Fengchao, MD, Chief physician, Department of Orthopedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221002, Jiangsu Province, China
About author:
Tang Jinlong, Master, Physician, Department of Orthopedics, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221002, Jiangsu Province, China
Supported by:
CLC Number:
Tang Jinlong, Yang Guanjie, Liu Lei, Xu Shizhuang, Zhao Fengchao. Change of related functions and double lower limb length after total knee arthroplasty[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(15): 2310-2316.
术后6个月:总体下肢长度变化为延长(11.97± 15.85) mm。98膝(79.0%)下肢长度延长,平均增长(17.74± 11.93) mm,其中术后屈曲挛缩角矫正量在2组间差异有显著性意义(P < 0.05),见表3。说明与下肢缩短组相比,术后6个月时下肢延长组术后屈曲挛缩角矫正量较大。 相关性分析:术后10 d屈曲挛缩角矫正量以及美国特种外科医院膝关节评分改善量与术后10 d下肢长度变化间存在相关性(r=0.615,P < 0.001;r=0.232,P=0.010);术后6个月屈曲挛缩角矫正量与术后6个月下肢长度变化间存在相关性(r=0.502,P < 0.001)。 2.4.2 髋膝踝角分组对术后下肢长度及功能的影响 根据髋膝踝角分为3组,内翻组髋膝踝角<-3°,外翻组髋膝踝角>3°,中立位组髋膝踝角-3°-3°。内翻组在术后10 d及6个月时,术后下肢长度与术前比差异均有显著性意义(P < 0.001);外翻组术后10 d时术后下肢长度与术前比差异无显著性意义,术后6个月时术后下肢长度与术前比差异有显著性意义(P=0.007);中立位组术后10 d及6个月术后长度与术前比差异均无显著性意义。术后10 d时,只有内翻组患者术后下肢长度与术前比差异有显著性意义;术后6个月内翻组及外翻组术后下肢长度与术前比差异有显著性意义。术后10 d及6个月时,下肢长度延长量及延长百分比均为:外翻组>内翻组>中立位组,见表4。 "
2.4.4 单膝组术前及术后各指标变化 单膝组术侧下肢长度术前短于非术侧(P < 0.001),术后10 d术侧及非术侧长度差异无显著性意义(P=0.503),术后6个月术侧长度长于非术侧(P=0.009)。术侧髋膝踝角在术前大于非术侧(P=0.020),在术后10 d及术后6个月均小于非术侧(P < 0.001)。术侧屈曲挛缩角在术前、术后10 d及术后6个月均大于非术侧(P < 0.001)。术侧美国特种外科医院膝关节评分在各时间点均小于非术侧(P < 0.001)。 总体看,单膝组术侧下肢长度在术后10 d及术后6个月均延长,髋膝踝角角度在术后10 d较前矫正最多,屈曲挛缩角在术后6个月较前矫正最多,美国特种外科医院膝关节评分在术后6个月较前增加最多。非术侧下肢长度及髋膝踝角术后变化很小,屈曲挛缩角轻度矫正,美国特种外科医院膝关节评分在术后6个月较之前增加最多,见表8。 "
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