摘要
背景:有研究表明,人工全膝关节置换中使用后交叉韧带保留型假体可保留更多本体感觉,降低髌股关节应力,通过股骨后轮滚动增强股四头肌功能,增加膝关节活动范围增加,使患者术后步态更趋于正常,提高患者满意度。目的:探讨采用后交叉韧带保留型假体的人工全膝关节置换治疗膝关节骨性关节炎合并膝外翻畸形的临床疗效。方法:收集南昌大学附属赣州医院关节外科2018年11月至2020年12月收治,采用后交叉韧带保留型假体进行初次人工全膝关节置换的膝关节骨性关节炎合并膝外翻畸形患者30例(均为单膝置换),进行回顾性分析。术前及术后2周、3个月检测30例患者的膝外翻角与膝关节活动度,采用HSS评分评价膝关节功能。研究已通过南昌大学附属赣州医院伦理委员会批准(批准号TY-ZKY2021-009-01)。结果与结论:(1)30例患者术后2周、3个月的膝外翻角检测结果均小于术前(P<0.05),术后3周与术后3个月检测结果比较差异无显著性意义(P>0.05)。(2)30例患者术后2周、3个月的膝关节活动度检测结果均高于术前(P<0.05),术后3周与术后3个月检测结果比较差异无显著性意义(P>0.05)。(3)30例患者术后2周、3个月的总体HSS评分均高于术前(P<0.05),术后3周与术后3个月检测结果比较差异无显著性意义(P>0.05)。(4)结果表明,采用后交叉韧带保留型假体的人工全膝关节置换治疗膝关节骨性关节炎合并膝外翻畸形能够有效纠正膝关节畸形、减轻膝关节疼痛、提高患肢肌力、显著改善膝关节活动度及功能,临床疗效显著。
BACKGROUND:Studies have shown that the use of posterior cruciate ligament retaining prosthesis in total knee arthroplasty can retain more proprioception,reduce the stress of patellofemoral joint,enhance the function of quadriceps femoris through the rolling of femoral rear wheel,increase the range of motion of knee joint,make the gait of patients more normal,and improve the satisfaction of patients.OBJECTIVE:To explore the clinical efficacy of total knee arthroplasty with posterior cruciate ligament retaining prosthesis in the treatment of knee osteoarthritis with knee valgus deformity.METHODS:From November 2018 to December 2020,data of 30 patients(all single knee arthroplasty)with knee osteoarthritis and genu valgus deformity who underwent primary total knee arthroplasty with posterior cruciate ligament retaining prosthesis in the Department of Joint Surgery of the Affiliated Ganzhou Hospital of Nanchang University were retrospectively analyzed.The knee valgus angle and range of motion of 30 patients were measured before operation and 2 weeks and 3 months after operation,and the knee function was evaluated by HSS.The study has been approved by the Ethics Committee of the Affiliated Ganzhou Hospital of Nanchang University(approval No.TY-ZKY2021-009-01).RESULTS AND CONCLUSION:(1)The knee valgus angle of 30 patients at 2 weeks and 3 months after operation was less than that before operation(P<0.05),and there was no significant difference in knee valgus angle between 3 weeks and 3 months after operation(P>0.05).(2)The range of motion of knee joint in 30 patients at 2 weeks and 3 months after operation was higher than that before operation(P<0.05).There was no significant difference in range of motion of knee joint between 3 weeks and 3 months after operation(P>0.05).(3)The overall HSS scores of 30 patients at 2 weeks and 3 months after operation were higher than those before operation(P<0.05),and there was no significant difference in overall HSS scores between 3 weeks and 3 months after operation(P>0.05).(4)The results showed that total knee arthroplasty with posterior cruciate ligament retaining prosthesis can effectively correct the deformity of knee joint,reduce the pain of knee joint,improve the muscle strength of affected limb,and significantly improve the range of motion and function of knee joint,showing significant clinical effect.
作者
周建国
刘世伟
袁长红
毕声荣
杨国平
胡伟全
刘辉
钱锐
Zhou Jianguo;Liu Shiwei;Yuan Changhong;Bi Shengrong;Yang Guoping;Hu Weiquan;Liu Hui;Qian Rui(Department of Joint Surgery,Affiliated Ganzhou Hospital of Nanchang University,Ganzhou 341000,Jiangxi Province,China;Center for Disease Control and Prevention of Xinfeng County,Ganzhou 341600,Jiangxi Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2022年第6期892-897,共6页
Chinese Journal of Tissue Engineering Research
基金
江西省卫健委科技计划项目(20177236),项目负责人:周建国
江西省卫健委科技计划项目(20195067),项目参与者:周建国
赣州市科技计划项目(GZ2020ZSF165),项目负责人:周建国
赣州市卫健委科技计划项目(2020-1-3),项目负责人:周建国。
关键词
后交叉韧带
膝关节假体
全膝关节置换
骨性关节炎
膝外翻
膝关节疼痛
膝关节活动度
临床疗效
posterior cruciate ligament
artificial knee prosthesis
total knee arthroplasty
osteoarthritis
knee valgus
knee joint pain
range of motion of knee joint
clinical effect
