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[1]喻長(zhǎng)純,楊明路,王戰(zhàn)朝.同期髕骨脫位矯正術(shù)聯(lián)合全膝關(guān)節(jié)置換術(shù)治療 晚期膝骨關(guān)節(jié)炎合并習(xí)慣性髕骨脫位[J].中醫(yī)正骨,2015,27(01):41-43.
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同期髕骨脫位矯正術(shù)聯(lián)合全膝關(guān)節(jié)置換術(shù)治療 晚期膝骨關(guān)節(jié)炎合并習(xí)慣性髕骨脫位()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期數(shù):
2015年01期
頁(yè)碼:
41-43
欄目:
臨床報(bào)道
出版日期:
2015-01-15

文章信息/Info

作者:
喻長(zhǎng)純楊明路王戰(zhàn)朝
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:
骨關(guān)節(jié)炎 髕骨脫位 關(guān)節(jié)成形術(shù)置換
摘要:
目的:觀察同期髕骨脫位矯正術(shù)聯(lián)合全膝關(guān)節(jié)置換術(shù)治療晚期膝骨關(guān)節(jié)炎合并習(xí)慣性髕骨脫位的臨床療效和安全性。方法:2005年7月至2009年3月,采用同期髕骨脫位矯正術(shù)聯(lián)合全膝關(guān)節(jié)置換術(shù)治療晚期膝骨關(guān)節(jié)炎合并習(xí)慣性髕骨脫位患者12例,男2例,女10例。年齡56~73歲,中位數(shù)67歲。均為初次行全膝關(guān)節(jié)置換術(shù)患者。8例存在膝外翻,3例存在脛骨外旋,4例存在高位髕骨。病程6~18年,中位數(shù)9年。術(shù)后隨訪觀察膝關(guān)節(jié)疼痛、活動(dòng)度、功能改善情況及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲得隨訪,隨訪時(shí)間6~54個(gè)月,中位數(shù)34個(gè)月。膝關(guān)節(jié)外翻畸形均獲得矯正,1例殘留5°左右的屈曲畸形。美國(guó)膝關(guān)節(jié)協(xié)會(huì)評(píng)分(American knee society score,KSS)臨床評(píng)分由術(shù)前(26±11)分提高至術(shù)后(72±14)分,其中疼痛評(píng)分由術(shù)前(12±7)分提高至術(shù)后(41±6)分,活動(dòng)度評(píng)分由術(shù)前(16±3)分提高至術(shù)后(20±2)分,穩(wěn)定性評(píng)分由術(shù)前(10±6)分提高至術(shù)后(17±5)分; KSS功能評(píng)分由術(shù)前(16±9)分提高至術(shù)后(74±21)分,其中行走評(píng)分由術(shù)前(19±8)分提高至術(shù)后(39±11)分,爬樓評(píng)分由術(shù)前(16±6)分提高至術(shù)后(41±9)分。均無(wú)關(guān)節(jié)液漏、髕骨再脫位等并發(fā)癥發(fā)生。結(jié)論:采用同期髕骨脫位矯正術(shù)聯(lián)合全膝關(guān)節(jié)置換術(shù)治療晚期膝骨關(guān)節(jié)炎合并習(xí)慣性髕骨脫位,可以糾正膝關(guān)節(jié)畸形,緩解膝關(guān)節(jié)疼痛,改善膝關(guān)節(jié)活動(dòng)度,有利于膝關(guān)節(jié)功能的恢復(fù),并發(fā)癥少,值得臨床推廣應(yīng)用。

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備注/Memo

備注/Memo:
2014-01-01收稿 2014-02-13修回
更新日期/Last Update: 2015-01-30