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髌股关节表达置换术治疗严重髌股关节骨性关节炎:2—10年随访报告
作者姓名:Zhang J  Ye QB  Qiu GX  Wang YP
作者单位:张嘉(中国医学科学院中国协和医科大学北京协和医院骨科,北京,100730)       叶启彬(中国医学科学院中国协和医科大学北京协和医院骨科,北京,100730)       邱贵兴(中国医学科学院中国协和医科大学北京协和医院骨科,北京,100730)       王以朋(中国医学科学院中国协和医科大学北京协和医院骨科,北京,100730)
摘    要:目的评价应用髌股关节表面置换术治疗严重髌股关节骨性关节炎的疗效.方法对患有严重髌股关节骨性关节炎的30例患者(36个膝关节)施以人工髌股关节表面置换术.男5例,女25例;年龄36~74岁,平均(55.8±8.5)岁.术后进行了2~10年的随访,根据膝评分和功能评分进行评价.结果与术前相比,术后的膝评分和功能评分均有显著改善;以膝评分及功能评分进行评价,有效率分别为88.9%及91.7%;术后优良率分别为69.4%及77.8%.结论在严格掌握适应证的条件下,髌股关节表面置换术是治疗严重髌股关节骨性关节炎比较简单有效的方法.

关 键 词:髌股关节炎  髌股关节表面置换术
修稿时间:2001年9月17日

Patellofemoral replacement for severe patellofemoral osteoarthritis: a 2-10 years follow-up study
Zhang J,Ye QB,Qiu GX,Wang YP.Patellofemoral replacement for severe patellofemoral osteoarthritis: a 2-10 years follow-up study[J].Acta Academiae Medicinae Sinicae,2002,24(2):174-177.
Authors:Zhang Jia  Ye Qi-bin  Qiu Gui-xing  Wang Yi-peng
Institution:Department of Orthopedic Surgery, PUMC Hospital, CAMS, PUMC, Beijing 100730, China. zhangjia1998@hotmail.com
Abstract:OBJECTIVE: To evaluate the therapeutic effects of patellofemoral replacement for severe patellofemoral osteoarthritis. METHODS: Patellofemoral replacement was performed in 30 patients (36 knee joints) with severe patellofemoral osteoarthritis, among whom were 5 males and 25 females. The patients ranged in age from 36 to 74 years old (mean +/- s, 55.8 +/- 8.5) and were followed up for 2-10 years. RESULTS: Significant improvement was made in both the knee score and functional score after the patellofemoral replacement. The effective rate was 88.9% and 91.7% evaluated with knee score and functional score respectively. CONCLUSION: Patellofemoral replacement is effective in treating severe patellofemoral osteoarthritis in appropriate cases.
Keywords:
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