旋转平台假体和固定平台假体的全膝关节置换术临床疗效观察.pdfVIP

摘要 分术后1 月的比较P ＜0.05，差异有统计学意义。治疗组或对照组的生理健康、 心理健康评分均在术后2 周起与术前比较P ＜0.05，差异有统计学意义。而社会 关系、环境评分两组术前、术后的比较P ＞0.05，差异无统计学意义。 结论 1. 两种平台假体膝关节置换术术后都能够改善患者的关节活动度和关节功 能。旋转平台假体置换后的关节活动度和关节功能改善都要优于固定平台假体。 2. 在改善关节疼痛方面，应用两种假体置换后关节的疼痛都有明显的减轻 趋势，不同假体的应用对改善关节疼痛方面无明显区别。 3. 旋转平台假体和固定平台假体置换后都能改善患者的生存质量，尤其是 在生理健康和心理健康方面比较明显，而对社会关系和环境评分术前术后变化不 显著。 关键词：旋转平台假体；固定平台假体；全膝关节置换术 万方数据 Abstract Abstract Objective Total Knee Replacement(TKR) is a kind of surgery which could treat the pain, dysfunction caused by knee advanced disease and rebuild the joint function . It is safe and effective.TKR can relieve the pain of knee, correct the deformity of joint, improve the function of knee and ultimately improve the quality of patients’ life. Traditional fixed prosthesis unable to meet the daily needs of patients for its disability which could not fully simulate the movement of normal knees. While rotating platform prosthesis are increasingly used in surgery for its unique advantages in the design. This study intends to observe the clinical efficacy of the rotating platform and fixed platforms prosthesis in total knee arthroplasty. Methods This study used a prospective, controlled method. 76 knees were divided into two groups,the treatment group and the control group. The patients of treatment group were replaced by rotating platform prosthesis. And the patients of control group were replaced byfixed platform prosthesis in TKR. We observe the ROM, HSS, VAS pain scores and WHOQOL-BRFF scores of two groups. Res