摘要
[目的]探讨髌下脂肪垫对全膝关节置换术后膝关节功能恢复的影响。[方法]回顾性研究2009—2012年期间的32例骨关节炎患者，全膝关节置换术中予以脂肪垫切除或保留，术后对髌韧带挛缩程度、疼痛分数、美国膝关节协会膝评分与功能评分数据进行分析。[结果]通过术后1年随访，髌下脂肪垫切除组中，患者发生明显的髌韧带挛缩倾向，而脂肪垫保留组中，髌韧带未发生明显挛缩，两组间差异明显（P=0．009），而且，脂肪垫切除组术后膝关节发生疼痛者为保留组的2倍，但两组膝关节协会评分与功能评分（P=0．269）无明显差异。[结论]尽管脂肪垫对全膝关节置换后有关功能评价的指标无明显影响，但为改善外科暴露而切除脂肪垫后，可能存在术后疼痛与髌韧带挛缩的风险，是否切除脂肪垫需慎重考虑。
[ Objective] To examine the effect of infrapatellar fat pad on the functional recovery of knee joint following total knee arthroplasty in patients with osteoarthritis. [ Methods] A retrospective review of 32 osteoarthritis patients undergoing total knee arthroplasty with fat pad being resected or not was conducted from 2009 to 2012, postoperative analysis was performed to determine the effect of fat pad on patellar tendon, pain scores, American Knee Society Scoreand function. [ Results ] At 1 years of follow - up , there was a significant patellar tendon shortening trend in the fat pad excision group , but no change was seen among the fat pad preservation group, fat pad - retaining had no significant effect on patellar tendon contracture, the difference between the 2 groups was significant （P = 0. 009） . Moreover, patients whose fat pad had been removed were nearly twice as likely to experience postoperative pain, but no significant effects were observed about Knee Society Scoreand function scores （P = 0. 269） . [ Conclusion] Although we found no positive effects on the standard measures of function after TKA, our findings suggested improved surgical exposure gained by excising the fat pad should be carefully considered for the risk of post - operative pain and patellar tendon eontracture.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2014年第3期225-229,共5页
Orthopedic Journal of China
基金
徐州市中心医院博士创新团队科技项目(编号:XZB201236)
江苏省中医药局课题项目(编号:LZ13132)
关键词
髌下脂肪垫
骨关节炎
全膝关节置换
infrapatellar fat pad, osteoarthritis, total knee arthroplasty
