微创人工全膝关节置换术治疗僵直膝的早期疗效观察.docVIP

微创人工全膝关节置换术治疗僵直膝的早期疗效观察 摘要 目的 评价微创人工全膝关节置换术治疗僵直膝关节的早期疗效。方法 2005年2月至2012年2月, 30例僵直膝行人工全膝关节置换治疗，对资料进行回顾行分析，并对术后效果及关节功能HSS 评分进行总结。结果 平均随访9（6~ 24）个月。HSS 评分由术前平均16.3（10~24）分提高到术后87（79~95）分。膝关节活动范围由术前平均19.40（00~400）提高到术后93.40（900~1100）。结论 僵直膝行微创人工全膝关节置换术，可以增加膝关节活动范围，获得满意的功能恢复。 关键词 关节成形术，置换，膝；治疗结果；膝；僵直 Primary mini-incision surgery of total knee arthroplasty in treatment of stiff knee / GAO Ming-tang, CHEN Jian1,PAN Lian-yin1,SUN Qing-guo1,ZHANG Peng-cheng1, WANG Xin-zhen1,Zhang Bao-long，Fu Kong-long，JIANG Dian-ming2. Department of Orthopedics, ZhengZhou Hospital. ZhengZhou, Henan 450053,China. 1.Department of Orthopedics,ZhengYang Hospitsl. ZhengYang 463600, Henan,China. 2. Department of Orthopedics,First Affiliated Hospitsl of Congqing University of Medical University,Congqing 40016, China. 【Abstract】 Objective To investigate the effect of primary mini-incision surgery of total knee arthroplasty (MIS-TKA) in treatment of stiff knee.Method A retrospective study of primary MIS-TKA was carried out in 30 patients with stiff knee,which were done by author from February 2005 to February 2012. The study included 9 males and 21 femals,with the mean age of 39.6 years.Primary disease of patirnts included rheumatoid arthritis (11 knees) and pigmented villonodular synovitis (19 knees).Varus deformity was found in all knees (100~200).Evaluations included preoperative and postoperative range of motion (ROM) and hospital for surgery knee score (HSS). Result All patients were followed up,The followed-up time ranged from 6 to 24 months (average 9 months).The average postoperative ROM 93.40 (900-1100),the HSS score increased from 16.3（10~24） preoperatively to 87ticulous surgical technique and aggressive rehabilitation are key points for satisfactory outcomes. 【Key words】 Arthroplasty，replacement ,knee；Treatment outcome;Knee;Stiff 僵直膝关节是指膝关节及关节周围损伤及手术后并发症。严重僵直膝关节活动范围明显受限 (≤50°) ,同时伴有髌骨活动度的严重减少甚至消失。国内外学者对僵直膝的病因和治疗有较多的研究和争论[1,2] 。僵直膝行人工全膝关节置换术可收到满意的临床疗效[2,3]。 笔者自2005年2月至2012年2月对30例僵直膝行微创