摘要
[目的]探讨应用组合式金属垫块修复胫骨近端AORIⅡ型骨缺损后全膝关节置换术的治疗方法和临床效果。[方法]2004年8月～2008年5月,作者对9例(12膝)应用组合式金属垫块修复胫骨AORIⅡ型骨缺损的全膝关节置换病例进行了随访,男3例(3膝),女6例(9膝),年龄48～76岁,平均69岁。[结果]术后随访6～42个月,平均26个月。患者内、外翻畸形均得到有效矫正,疼痛消失,活动度良好,膝关节HSS评分由术前14.5(10～25)分提高到术后85.5分(74～95)分,膝关节屈曲活动度由术前74.6°(15～100°)提高到术后110.3°(80～155°)。[结论]在全膝关节置换术中应用组合式金属垫块修复胫骨近端AORIⅡ型骨缺损,手术操作方便,提高了假体的稳定性和手术的成功率。
[Objective]To investigate the treatment and results of reconstruction with composite type metal raiser block of proximal tibia AORI type Ⅱbone defect in total knee arthroplasty（TKA）. [ Method] Nine patients（ 12 knees） of reconstruction with composite type metal raiser block of proximal tibia AORI typeⅡbone defect in TKA were followed from August 2004 to May 2008. There were 3 males with 3 knees and 6 females with 9 knees. The average age was 69 years ranging from 48 to 76 years. [ Result] The average follow-up time was 26 months ,ranging from 6 to 42 months. All genu varum and genu valgum were corrected. Pain disappeared and the motion of the knee was satisfactory. The HSS knee score improved from preoprative 14.5 （ range 10 -25） to postoprative 85.5 （ range 74 - 95 ）. The movement range improved from preoprative 74.6°（ range 15° - 100°） to postoprative 110.3°（ range 80° - 155°）. [ Conclusion ] The appliance of composite type metal raiser block for proximal tibia AORI typeⅡ bone defect in total knee arthroplasty is helpful for the constancy of prothesis and the achievement rate of opration.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2009年第10期728-730,共3页
Orthopedic Journal of China
关键词
关节成形术
置换
膝
胫骨
假体
植入物
arthroplasty
replacement
knee
tibia
prothesis
inplants
