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[1]程韶,王上增.Oxford活動型半月板單髁置換術治療膝骨關節(jié)炎[J].中醫(yī)正骨,2016,28(04):53-56.
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Oxford活動型半月板單髁置換術治療膝骨關節(jié)炎()
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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04期
頁碼:
53-56
欄目:
臨床報道
出版日期:
2016-04-20

文章信息/Info

作者:
程韶1王上增2
1.河南中醫(yī)藥大學,河南 鄭州 450008; 2.河南省中醫(yī)院,河南 鄭州 450002
關鍵詞:
骨關節(jié)炎 關節(jié)成形術置換 活動型半月板假體
摘要:
目的:觀察Oxford活動型半月板單髁置換術治療膝骨關節(jié)炎的臨床療效和安全性。方法:2012年7月至2014年6月,采用Oxford活動型半月板單髁置換術治療膝骨關節(jié)炎患者21例,男7例、女14例。年齡60~75歲,中位數(shù)63歲。患者體質量55~65 kg,中位數(shù)57 kg; 體質量指數(shù)18~26 kg·m-2,中位數(shù)23 kg·m-2。左側12例,右側9例。所有患者膝關節(jié)內側均疼痛,站起和負重行走時加重,膝關節(jié)活動輕微受限; 膝關節(jié)活動度90°~105°,中位數(shù)96°; 內翻畸形5°~15°,中位數(shù)9°; 均為伸直位內翻畸形,屈曲90°時內翻畸形消失; 髕股關節(jié)研磨試驗陽性2例,陰性19例。膝關節(jié)內側關節(jié)間隙均變窄或消失。術后隨訪觀察切口愈合、并發(fā)癥發(fā)生、膝關節(jié)活動度及功能改善情況。結果:切口均甲級愈合。所有患者均獲隨訪,隨訪時間1~3年,中位數(shù)2年。假體位置良好,均無假體脫位、假體周圍感染、脂肪栓塞及下肢深靜脈血栓形成等并發(fā)癥發(fā)生。膝關節(jié)活動度由術前94.38°±3.53°提高至術后1周121.29°±7.45°、術后1年128.43°±5.93°。采用美國膝關節(jié)協(xié)會評分標準評價療效,膝關節(jié)評分由術前(53.19±4.77)分提高至術后1周(86.14±3.75)分、術后1年(87.24±4.37)分,患者功能評分由術前(47.14±4.52)分提高至術后1周(85.52±3.94)分、術后1年(86.67±3.97)分。結論:采用Oxford活動型半月板單髁置換術治療膝骨關節(jié)炎,能夠改善膝關節(jié)活動度,有利于膝關節(jié)功能的恢復,并發(fā)癥少,值得臨床推廣應用。

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備注/Memo:
通訊作者:王上增 E-mail:[email protected]
更新日期/Last Update: 2016-08-30