摘要
目的探讨全膝关节置换术(TKA)对创伤后膝僵硬畸形的治疗效果。方法对13例创伤后膝僵硬畸形患者采用TKA手术治疗,对比分析手术前后关节活动度范围以及膝关节HSS评分变化。结果 13例患者均获随访,时间3个月～3年6个月。HSS评分由术前的27～47(36±3.8)分提高到术后的80～92(86±3)分,关节活动范围由术前的5°～35°(20±3.5°)提高到术后的85°～100°(90°±5°),术前术后比较均有明显改善(P<0.05)。结论创伤后膝僵硬畸形采取TKA治疗可以明显改善关节活动范围,缓解症状,恢复功能,疗效满意。
Objective To explore the effect of treating post-traumatic stiff knee by total knee arthropalsty （TKA）. Methods 13 patients of post-traumatic stiff knee were treated by TKA,the ranges of knee joints＇motion and HSS knee score were comparatively analysed between preoperation and postoperation. Results All cases were followed up from 3 months to 42 months, the HSS knee score was improved from 27 - 47 （36 ± 3.8） scores preoperation to 80-92 （86 ± 3 ） scores postoperation, the average of ranges for knee motions was improved from 5 ° -35°（ 20° ± 3.5°） degrees preoperation to 85°- 100° （90° ± 5° ） degrees postoperation, both were improved obviously（ P 〈 0.05 ）. Conclusions TKA can improve knee motions obviously, release symptoms, regain the functions of the stiff knees and has satisfied curative effect for post-traumatic stiff knee.
出处
《临床骨科杂志》
2012年第5期517-519,共3页
Journal of Clinical Orthopaedics
关键词
全膝关节置换术
膝僵硬
创伤后
total knee arthropalsty
stiff knee
post-traumatic
