摘要
目的:研究接受全膝关节置换的膝骨关节炎患者(KOA)股四头肌功能的变化。方法:选用晚期KOA患者30例,均行表面全膝人工关节(后稳定型)单膝置换。所有患者进行6个月的随访,在慢速(60°/s)和快速(180°/s)两种速度下,进行等速肌力测试包括峰力矩(PT)、作功量(TW)对其结果进行比较分析。结果:30例患者术后无并发症、合并症出现,伤口均为一期愈合。根据统计学分析,术后早期PT、TW较术前无显著差异,3个月～6个月后较术前有显著性差异。结论:康复训练对全膝关节置换术后股四头肌的肌力恢复有明显作用,等速肌力测试是评价骨关节炎患者康复疗效的有效手段。
Objective：To study the function change of quadriceps femoris muscle of knee osteoarthritis（KOA）Patients who were accepted total knee arthroplasty.Method： 30 patients with severe osteoarthritis of knee,who had been performed to total knee arthroplasty（the prostheses posterior-stabilized artificial knee joint）.All the patients were followed up 6 months,The peak torque（PT）,total work（TW） of quadriceps were tested at 60 ° / s and 180 ° / s before and after the operation,the result was analyzed.Results： ALL 30 patients underwent total knee arthroplasty,no complications were found postoperatively.The incision was healed at the primary stage.The muscle strength（PT、 TW）of 30 patients was no significant difference in early postoperation compared with preoperation,There was statistically significant difference in muscle strength at 3and 6 months after total knee arthroplasty.Conclusion： rehabilitation is of importance for restoring muscle power of quadriceps femoris after total knee arthroplasty.For knee osteoarthritis patients,isokinetic muscle testing is an effective means in evaluating the effect of rehabilitation program.
出处
《陕西医学杂志》
CAS
2012年第11期1507-1509,共3页
Shaanxi Medical Journal
基金
西安市科技计划项目(No.YF 07147)
关键词
@等速肌力测试
骨关节炎
膝
治疗
关节成形术
置换
膝
@Isokinetic muscle testing Osteoarthritis
Knee/therapy Arthroplasty
replacement
Knee
