摘要
目的：探讨全膝关节置换结合关节镜术一期手术治疗双膝骨关节炎的效果。方法：双膝骨关节炎患者16例，男5例，女11例，年龄60-78岁。较重侧（HSS评分35～48分）行全膝关节置换术，较轻侧（HSS评分42～60分）行关节镜下松解术并下肢支具康复锻炼。结果：患者术中出血量220—300ml，恢复快。随访9～26个月，患者关节置换侧HSS评分由（40．9±6．7）分提高至（86．4±7．0）分；关节镜术侧HSS评分由（52．2±7．3）分提高至（78．6±8．2）分。结论：全膝关节置换联合关节镜下松解术一期手术治疗老年双膝骨关节炎是一种有效方法。
Aim： To analyze the therapelhic effect of total knee replacement （TKR） combined with arthroscopic operation on the elder patients with both knee osteoarthritis. Methods：A total of 16 patients, including 5 males and 11 females, aged from 60 - 78 years, were performed operation. The severe lateral was performed with TKR, and the contra-lateral was performed with arthroscopic release. The rehabilitation was undergone after operation by using low limb brace and CPM. Results ： All the patients recovered quickly with little bleeding. Followed up for 9 - 26 months, the pre-operation symptom disappeared, The HSS scores of the severe lateral ascended from （40.9 ± 6.7） to （86.4 ± 7.0） , that of the contra-lateral ascended from （52.2 ± 7.3 ） to （78.6 ± 8.2）. Conclusion： TKR and arthroscopic operation is an effective methord for elder patients with both knee osteoarthritis.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2006年第5期957-959,共3页
Journal of Zhengzhou University(Medical Sciences)
关键词
人工关节
全膝关节置换术
关节镜术
膝骨性关节炎
prosthesis
total knee replacement
arthroscopic operation
knee osteoarthritis
