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[1]孟慶陽(yáng),申晟.全膝關(guān)節(jié)置換術(shù)治療膝關(guān)節(jié)僵硬[J].中醫(yī)正骨,2017,29(05):42-44.
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全膝關(guān)節(jié)置換術(shù)治療膝關(guān)節(jié)僵硬()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年05期
頁(yè)碼:
42-44
欄目:
臨床報(bào)道
出版日期:
2017-05-20

文章信息/Info

作者:
孟慶陽(yáng)申晟
河南省洛陽(yáng)正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽(yáng) 471002
關(guān)鍵詞:
關(guān)節(jié)成形術(shù)置換 膝關(guān)節(jié)僵硬
摘要:
目的:觀察全膝關(guān)節(jié)置換術(shù)(total knee arthroplasty,TKA)治療膝關(guān)節(jié)僵硬的臨床療效及安全性。方法:2008年10月至2012年9月,采用TKA治療膝關(guān)節(jié)僵硬患者15例(19膝),男4例(5膝)、女11例(14膝)。年齡25~75歲,中位數(shù)56歲。左膝12例,右膝7例。疾病類(lèi)型,類(lèi)風(fēng)濕關(guān)節(jié)炎7例、骨關(guān)節(jié)炎5例、創(chuàng)傷性關(guān)節(jié)炎3例。病程6~25年,中位數(shù)14年。所有患者膝關(guān)節(jié)活動(dòng)范圍均<50°,均初次采用TKA治療。術(shù)后1年采用美國(guó)特種外科醫(yī)院(hospital for special surgery,HSS)膝關(guān)節(jié)評(píng)分標(biāo)準(zhǔn)評(píng)定療效,隨訪觀察并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲隨訪,隨訪時(shí)間15~24個(gè)月,中位數(shù)20個(gè)月。術(shù)后1年,所有患者膝關(guān)節(jié)主動(dòng)活動(dòng)范圍均>90°,HSS評(píng)分(86.52±3.65)分,優(yōu)10例、良3例、可1例、差1例。2例出現(xiàn)下肢深靜脈血栓形成,經(jīng)抗凝治療后好轉(zhuǎn)。均未出現(xiàn)切口或關(guān)節(jié)感染、腓總神經(jīng)損傷及肺或腦栓塞。結(jié)論:采用TKA治療膝關(guān)節(jié)僵硬,可以有效改善膝關(guān)節(jié)活動(dòng)范圍,療效好,并發(fā)癥少,值得臨床推廣應(yīng)用。

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更新日期/Last Update: 2017-05-20