| 同时双侧全膝表面置换与单侧全膝关节置换围手术期康复的比较 |
| |
| 引用本文： | 刘杰,徐岭,沈杰敏,陈旭林,周彦,郑旻,付晓伟,余夏林,张中南. 同时双侧全膝表面置换与单侧全膝关节置换围手术期康复的比较[J]. 中国组织工程研究与临床康复, 2011, 15(26): 4791-4794. DOI: 10.3969/j.issn.1673-8225.2011.26.011 |
| |
| 作者姓名： | 刘杰 徐岭 沈杰敏 陈旭林 周彦 郑旻 付晓伟 余夏林 张中南 |
| |
| 作者单位： | 上海长航医院,上海市,200122 |
| |
| 摘 要： | 背景:目前对于双膝严重骨性关节炎行两组同时双侧全膝表面置换的围手术期康复的相关研究尚不多见。目的:比较双膝骨性关节炎两组同时双侧全膝表面置换术与单侧全膝关节置换围手术期康复训练的效果。方法:两组医生对59例(118膝)患者双膝骨性关节炎同台同时全膝表面置换,与同期80例单膝骨性关节炎行单侧全膝关节置换患者(对照组)进行疗效比较。两组患者置换前均进行康复教育及预备康复,置换后康复方法标准一致。结果与结论:同时双侧全膝表面置换组置换前通过压腿平均减小屈曲畸形角度11.2°(5°～22°)。置换后3～6周,股四头肌、腘绳肌肌力5级,较置换前平均增加0.8级;平均ROM≥95°(110±15)°;无痛行走500m以上;独自无痛上下10级楼梯,无肿胀;出院时HSS评分较置换前增加。置换后3个月没有发现松动表现及不良反应,其康复疗效与对照组对比差异无显著性意义。表明,在围手术期对双膝骨性关节炎两组医生行同时双侧全膝表面置换,通过系统而量化的康复,有利于减少置换中截骨量和置换后并发症,促进患者膝关节功能恢复,与单侧全膝关节置换相比康复结果无明显差异。
|
| 关 键 词： | 膝关节 骨性关节炎 全膝关节置换 康复 全膝表面置换 |
Peri-operative rehabilitation of simultaneous bilateral total knee arthroplasty versus unilateral total knee arthroplasty |
| |
| Liu Jie,Xu Ling,Shen Jie-min,Chen Xu-lin,Zhou Yan,Zheng Min,Fu Xiao-wei,Yu Xia-lin,Zhang Zhong-nan. Peri-operative rehabilitation of simultaneous bilateral total knee arthroplasty versus unilateral total knee arthroplasty[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 2011, 15(26): 4791-4794. DOI: 10.3969/j.issn.1673-8225.2011.26.011 |
| |
| Authors: | Liu Jie Xu Ling Shen Jie-min Chen Xu-lin Zhou Yan Zheng Min Fu Xiao-wei Yu Xia-lin Zhang Zhong-nan |
| |
| Affiliation: | Liu Jie,Xu Ling,Shen Jie-min,Chen Xu-lin,Zhou Yan,Zheng Min,Fu Xiao-wei,Yu Xia-lin,Zhang Zhong-nanShanghai Changhang Hospital,Shanghai 200122,China |
| |
| Abstract: | BACKGROUND:There are few reports concerning the peri-operative rehabilitation of two-team simultaneous bilateral total knee arthroplasty(SBTKA) in patients with bilateral end-stage degenerative osteoarthritis(OA) of the knee.OBJECTIVE:To compare the peri-operative rehabilitation outcomes of OA patients undergoing SBTKA and unilateral TKA(UTKA).METHODS:The experiment group composed of 59 OA patients(118 knees) undergoing SBTKA had been given same rehabilitation as the control group that had 80 OA patients un... |
| |
| Keywords: | |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
