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[1]王躍輝,鄒士平,宋樹春,等.螺釘和骨水泥修復(fù)膝關(guān)節(jié)置換術(shù)中脛骨平臺骨缺損[J].中醫(yī)正骨,2016,28(01):57-59.
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螺釘和骨水泥修復(fù)膝關(guān)節(jié)置換術(shù)中脛骨平臺骨缺損()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年01期
頁碼:
57-59
欄目:
臨床報道
出版日期:
2016-01-20

文章信息/Info

作者:
王躍輝鄒士平宋樹春王愛國程慧白玉
河南省鄭州市骨科醫(yī)院,河南 鄭州 450052
關(guān)鍵詞:
關(guān)節(jié)成形術(shù)置換 脛骨平臺 骨缺損 骨螺絲 骨水泥
摘要:
目的:探討螺釘和骨水泥修復(fù)膝關(guān)節(jié)置換術(shù)中脛骨平臺骨缺損的療效及安全性。方法:2009年1月至2013年10月,采用螺釘和骨水泥修復(fù)膝關(guān)節(jié)置換術(shù)中脛骨平臺骨缺損20例,男5例、女15例。年齡60~76歲,中位數(shù)65歲。左側(cè)11例,右側(cè)9例。膝骨關(guān)節(jié)炎19例,類風(fēng)濕關(guān)節(jié)炎1例。單膝置換15例,雙膝置換5例。術(shù)后隨訪觀察并發(fā)癥發(fā)生及膝關(guān)節(jié)功能恢復(fù)情況。結(jié)果:所有患者均獲隨訪,隨訪時間1~5年,中位數(shù)2.4年。均未出現(xiàn)切口感染、關(guān)節(jié)僵硬、假體及螺釘松動、移位或斷裂,骨水泥界面無透亮區(qū)。美國膝關(guān)節(jié)協(xié)會評分(knee society score,KSS)術(shù)前為(43.2±3.5)分,末次隨訪時為(91.2±4.3)分。結(jié)論:螺釘和骨水泥修復(fù)膝關(guān)節(jié)置換術(shù)中脛骨平臺骨缺損,具有固定強(qiáng)度高、并發(fā)癥少等優(yōu)點(diǎn),可以促進(jìn)膝關(guān)節(jié)功能恢復(fù),值得臨床推廣應(yīng)用。

參考文獻(xiàn)/References:

[1] Huff TW,Sculco TP.Management of bone loss in revision total knee arthroplasty[J].J Arthroplasty,2007,22(7 Suppl 3):32-36.
[2] Engh GA,Ammeen DJ.Bone loss with revision total knee arthroplasty:defect classification and alternatives for reconstruction[J].Instr Course lect,1999,48:167-175.
[3] Koshino T,Sato K,Umemoto Y,et al.Clinical results of unicompartmental arthroplasty for knee osteoarthritis using a tibial component with screw fixation[J].Int Orthop,2015,39(6):1085-1091.
[4] Berend ME,Ritter MA,Keating EM,et al.Use of screws and cement in primary TKA with up to 20 years follow-up[J].J Arthroplasty,2014,29(6):1207-1210.
[5] Meftah M,Blum YC,Raja D,et al.Correcting fixed varus deformity with flexion contracture during total knee arthroplasty:the“inside-out”technique:AAOS exhibit selection[J].J Bone Joint Surg Am,2012,94(10):e66.
[6] 陳小利,宋樹春,鄒士平.全膝關(guān)節(jié)置換140例的臨床分析[J].中醫(yī)正骨,2008,20(9):45.
[7] 鄒士平,朱俊,白玉,等.人工全膝關(guān)節(jié)置換術(shù)在膝關(guān)節(jié)屈曲畸形中的應(yīng)用[J].中醫(yī)正骨,2006,18(4):47-48.
[8] 劉曉雅,孫永強(qiáng),劉國杰.主動快速康復(fù)鍛煉對全膝關(guān)節(jié)置換術(shù)后關(guān)節(jié)活動度的影響[J].中醫(yī)正骨,2015,27(9):73-74.
[9] 趙斌,曾憲輝,豐新建,等.持續(xù)被動運(yùn)動在全膝關(guān)節(jié)置換術(shù)后康復(fù)中的應(yīng)用[J].中醫(yī)正骨,2014,26(9):19-20.
[10] Baldini A,Castellani L,Traverso F,et al.The difficult primary total knee arthroplasty:a review[J].Bone Joint J,2015,97-B(10 Suppl A):30-39.
[11] Berend ME,Ritter MA,Keating EM,et al.Use of screws and cement in revision TKA with primary or revision specific prosthesis with up to 17 years followup[J].J Arthroplasty,2015,30(1):86-89.
[12] Qiu YY,Yan CH,Chiu KY,et al.Review article:bone defect classifications in revision total knee arthroplasty[J].J Orthop Surg(Hong Kong),2011,19(2):238-243.
[13] Chen F,Krackow KA.Management of tibial defects in total knee arthroplasty.A biomechanical study[J].Clin Orthop Relat Res,1994,(305):249-257.
[14] Lee JK,Choi CH.Management of tibial bone defects with metal augmentation in primary total knee replacement:a minimum five-year review[J].J Bone Joint Surg Br,2011,93(11):1493-1496.
[15] 蔡谞,王巖,王繼芳,等.自體打壓植骨修復(fù)膝關(guān)節(jié)置換術(shù)中脛骨平臺骨缺損[J].中華醫(yī)學(xué)雜志,2008,88(41):2907-2911.
[16] Ritter MA,Keating EM,Faris PM.Screw and cement fixation of large defects in total knee arthroplasty.A sequel[J].J Arthroplasty,1993,8(1):63-65.
[17] Ritter MA,Faris GW,Faris PM,et al.Total knee arthroplasty in patients with angular varus or valgus deformities of>or=20 degrees[J].J Arthroplasty,2004,19(7):862-866.
[18] Radnay CS,Scuderi GR.Management of bone loss:augments,cones,offset stems[J].Clin Orthop Relat Res,2006,446:83-92.

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備注/Memo

備注/Memo:
基金項(xiàng)目:河南省中醫(yī)藥科學(xué)研究專項(xiàng)課題(2015ZY02080); 鄭州市科技攻關(guān)項(xiàng)目(20150141)
更新日期/Last Update: 2016-02-29