小切口股内侧及髌旁内侧入路行全膝置换术比较探究.docVIP

小切口股内侧及髌旁内侧入路行全膝置换术比较探究 　中国论文联盟编辑。【摘要】 探讨经小切口股内侧肌入路行TKA的优点并与传统髌旁内侧入路的疗效进行比较。［ 方法 ］自2002年5月~2006年5月共收治行TKA56例60膝，其中采用小切口股内侧肌入路和传统髌旁内侧入路各28例30膝。分别对术后切口长度、疼痛度、引流出血量、手术前后Hb减少量、直腿抬高时间、术后住院天数、假体力线对位、术后6、12周、1年的活动度(ROM)及术后1年HSS评分进行比较 分析 。［结果］56例患者均获得随访，随访1～15年（平均132个月）。两组除各有1例胫骨假体对位不良外，其余均获得准确的力线对位。 微创组，平均切口113 cm，VAS评分平均276分，平均引流出血量968 ml、术后Hb平均减少255 g，直腿抬高平均38 d，术后平均住院86 d，术后6、12周的ROM分别为107°、117°；传统组，平均切口206 cm，VAS评分平均38分，平均引流出血量2763 ml、术后Hb平均减少325 g，直腿抬高平均58 d，术后平均住院121 d，术后6、12周的ROM分别为98°、108°。以上各观察指标的手术疗效比较,经统计学分析显示差异有显著性意义(Plt;001)。微创组术后1年的ROM及HSS评分为121°和95分相对于传统组的118°和94分差异无显著性意义（Pgt;005）。［结论］经微创中股入路行全膝置换术，术后膝关节功能恢复快，早期疗效满意。 【关键词】 全膝置换 膝关节 小切口股内侧肌入路 论文代写 Abstract ［Objective］To compare clinical results of the mini midvastus approach with the traditional medial parapatellar approach for totall knee arthroplasty and to evaluate thEir advantages ［Methods］Sixty total knee arthroplasty(56 patients )have been freated during May 2002 to May 2006, 28 patients(30 knee) were underwent TKA using EIther mini midvastus approach or traditional medial parapatellar approachTwo groups were compared according to skin incision length ,postoperative pain score ,total amount of drains , postoperative amount of decreasing Hb,active straight-leg raise time, postoperative length of stay ,radiographic alignment of all the components, postoperative range of motion at 6 weeks and 12 weeks and 1 year, postoperative HSS score at 1 year ［Results］All the patients were followed from 1 to 15 year (mean, 132 months)Position of all the components was normal in all patients except one case with abnormal position of tibial prosthesis in both groups In the MIS group,the average skin incision length was 113 cm, average visual analog pain scale was 276 score,while the control group was 206 cm and 38 scoreIn the MIS group,the total amount of drains was 968 ml, postoperative amount of decreasing Hb was 225 g, while the control group was 2763 ml and 325 g In the MIS gro