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[1]王金良,孫京濤,李玲,等.骨水泥聯(lián)合螺釘修復(fù)全膝關(guān)節(jié)置換術(shù)中 脛骨平臺內(nèi)側(cè)骨缺損[J].中醫(yī)正骨,2015,27(12):55-56.
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骨水泥聯(lián)合螺釘修復(fù)全膝關(guān)節(jié)置換術(shù)中 脛骨平臺內(nèi)側(cè)骨缺損()
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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12期
頁碼:
55-56
欄目:
臨床報道
出版日期:
2015-12-30

文章信息/Info

作者:
王金良孫京濤李玲魏瑄王少華王愛國
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 骨水泥成形術(shù) 骨螺絲
摘要:
目的:觀察骨水泥聯(lián)合螺釘修復(fù)全膝關(guān)節(jié)置換術(shù)中脛骨平臺內(nèi)側(cè)骨缺損的臨床療效和安全性。方法:2005年1—3月,采用骨水泥聯(lián)合螺釘修復(fù)全膝關(guān)節(jié)置換術(shù)中脛骨平臺內(nèi)側(cè)骨缺損18例,男7例、女11例。年齡54~78歲,中位數(shù)69歲。膝骨關(guān)節(jié)炎14例,創(chuàng)傷性膝關(guān)節(jié)炎4例。所有患者膝關(guān)節(jié)均出現(xiàn)內(nèi)翻畸形和脛骨平臺內(nèi)側(cè)非包容型骨缺損。術(shù)后隨訪觀察膝關(guān)節(jié)功能、活動度改善情況及并發(fā)癥發(fā)生情況。結(jié)果:所有患者均獲得隨訪,隨訪時間6個月至10年,中位數(shù)7年。1例骨水泥螺釘松動,其余患者均未見切口感染、螺釘松動等并發(fā)癥。術(shù)后6個月HSS膝關(guān)節(jié)評分由術(shù)前(41.6±7.4)分升至(92.5±9.6)分,膝關(guān)節(jié)活動度由術(shù)前67.5°±8.1°升至105.2°±7.6°。結(jié)論:采用骨水泥聯(lián)合螺釘修復(fù)全膝關(guān)節(jié)置換術(shù)中脛骨平臺內(nèi)側(cè)骨缺損,能夠改善膝關(guān)節(jié)活動度,有利于膝關(guān)節(jié)功能的恢復(fù),并發(fā)癥少,是老年患者的理想選擇之一。

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備注/Memo

備注/Memo:
2015-10-10收稿 2015-11-20修回
通訊作者:王愛國 E-mail:[email protected]
更新日期/Last Update: 2015-12-30