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人工全膝关节置换术治疗膝关节炎22例分析
引用本文:郭景泉,郭景丽,董纪元. 人工全膝关节置换术治疗膝关节炎22例分析[J]. 军医进修学院学报, 2011, 32(9): 914-915
作者姓名:郭景泉  郭景丽  董纪元
作者单位:1. 张家口市第一医院骨科,河北张家口,075000
2. 河北北方学院附属医院,河北张家口,075000
3. 解放军总医院关节外科,北京,100853
摘    要:目的评价人工全膝关节置换术治疗膝关节骨陛关节炎(KOA)的临床疗效。方法采用人工全膝关节置换术治疗膝关节骨性关节炎(KOA)病人22例,按照HSS评分标准:50—60分2膝,40-50分22膝,30—40分4膝;平均随访11个月。结果22例手术均顺利,无关节感染、松动,按照膝关节HSS评分标准,优14例、良6例、可2例。结论人工全膝关节置换术可有效缓解骨关节炎疼痛,改善膝关节功能,近期疗效满意。

关 键 词:关节成形术  置换    膝关节骨性关节炎  假体和植入物

Treatment of knee osteoarthritis with total knee arthroplasty: A report of 22 cases
GUO Jing-quan,GUO Jing-li,Dong Ji-yuan. Treatment of knee osteoarthritis with total knee arthroplasty: A report of 22 cases[J]. Academic Journal of Pla Postgraduate Medical School, 2011, 32(9): 914-915
Authors:GUO Jing-quan  GUO Jing-li  Dong Ji-yuan
Affiliation:1ZhangJiakou First Hospital,ZhangJiakou 075000,Hebei Province,China;2Affiliated Hospital of Hebei North Medical College,ZhangJiakou 075000,Hebei Province,China;3Department of Joint Surgery,Chinese PLA General Hospital,Beijing 100853,China
Abstract:Objective To evaluate the clinical effect of total knee arthroplasty(TKA) on knee osteoarthritis(KOA). Methods Twenty- two KOA patients who underwent TKA were included in this study. The score was 50-60, 40-50 and 30-40, respectively, for 2, 22 and 4 knees according to the hospital special surgery(HSS) system. The patients were followed up for an average period of 11 months. Results The operation was successful in 22 patients with no infection and loose of the joint. The outcome was excellent, good and fair, respectively, in 14, 6 and 2 patients according to the HSS scoring criteria. Conclusion TKA can effectively alleviate the pain of knee due to KOA and improve the knee function. Its short term therapeutic effect on KOA is satisfactory.
Keywords:Arthroplasty, Replacement, Knee  Knee Osteoarthritis  Prostheses and Implants
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