旋转平台假体膝关节置换的早期疗效.docVIP

福建医科大学 2010 级硕士学位论文 The Early Result of Rotating-Platform Total Knee Arthroplasty Abstract Objective：To investigate the early clinical of Rotating-Platform total knee system in the total knee arthroplasty，And we try to find the result in different age groups by this approach． Methods: The 38patients (45knees) who accepted primary total knee arthroplasty (TKA) with Rotating-Platform total knee system between June 2008 and June 2012 were followed-up. The patients include 10 males and 28 females, aged from 21 to 81 years old, with the average being 63. The 38 patients were divided into two groups: the first groups consisted of 14 patients aged less than 60 years, and the other of 24 patients aged older than 60 years. Clinical evaluation of arthroplasty has been made by referring to the scoring systems of American Hospital for Special Surgery （HSS）.Compare the scores of knee HSS, pain and function, range of motion (ROM) before and after the arthroplasty. Radiographic Evaluation of arthroplasty has been made on the femoral tibial angles (FTA),Observed the limb alignment， position of the prosthesis, radiation through the light around femoral and tibial components in order to find signs of prosthesis loosening. Patient satisfaction rate and the complications were evaluated. The data were analyzed with SPSS 19.0 software. Results：The 38cases (45 knees) were followed up for an average of 29 months (ranged, 8~54 months) .All incisions healed at one-stage and no one case of deep vein thrombosis，dislocation and other complications．One infection was cured by taking some relative treatment. No one case of flexion deformity was occurred. Patients satisfactory rate was 94.7%. 1．Clinical Evaluation：The scores of HSS, pain and function increased respectively from (48.86±12.16) points, (13.42±5.58) points and (9.93±5.14) points preoperatively to (86.89±9.07) points, (25.22±4.26) points and (19.47±2.85) points (P＜0.05) at the final followed-up. The excellent and good rate of knee HSS s