摘要
背景:重度僵硬膝行膝关节置换的疗效还存在一定争议。目的:探讨重度僵硬膝关节行人工全膝关节置换的临床效果。方法:2007-06/2010-05于北京积水潭医院、北京大学第四临床医学院行人工全膝关节置换的僵硬膝患者221例,分为严重受限组(置换前膝关节活动度<65°)63例(99膝),部分受限组(65°≤置换前活动度<90°)158例(230膝),并随机选出同期手术的置换前活动度正常(≥90°)的患者202例(300膝)为对照组。结果与结论:置换后所有患者的膝关节活动度、美国膝关节协会评分评分及西安大略麦马斯特大学骨性关节炎评分和置换前相比均有明显改善(P<0.05),置换后严重受限组较置换前增加的活动度和功能要明显高于部分受限组和对照组,且置换后部分受限组较置换前增加的活动度和功能要明显高于对照组,说明重度僵硬膝关节在关节置换后能得到很好的活动度和功能,置换前活动度越差,置换后活动度和功能的改善可能越明显。
BACKGROUND： There is a contrary in outcome of knee arthroplasty in patients with severe stiff knees. OBJECTIVE： To explore the outcome of artificial total knee arthroplasty in patients with severe stiff knees. METHODS： 221 patients with severe stiff knees performed total knee arthroplasty in Beijing Jishuitan Hospital, the Forth Clinical College of Peking University from June 2007 to May 2010 were involved. According to the preoperative range of motion （ROM）, these patients were divided into two groups. Severe stiff group （ROM 65°） included 63 patients （99 knees）, and partial stiff group （65°≤ROM90°） included 158 patients （230 knees）. 202 patients （300 knees） had normal activity of the knee before arthroplasty at the same time were taken as control. RESULTS AND CONCLUSION： As a result of the arthroplasty, the ROM, knee society score, and Western Ontario and Mcmaster Universitics Osteoarthritis Index score of all patients were improved than before （P 0.05）. The increased ROM and function after arthroplasty of the severe stiff group knees were significant greater than those of the partial stiff group and the control group, and that of the partial stiff group knees were significant greater than in the control group. The patients with severe stiff knees could gain good ROM and function after total knee arthroplasty. Improvements in mobility and function were greater in the cases with severe preoperative stiffness.
出处
《中国组织工程研究与临床康复》
CAS
CSCD
北大核心
2011年第52期9778-9781,共4页
Journal of Clinical Rehabilitative Tissue Engineering Research
