人工膝关节置换术治疗严重膝关节疾病的临床分析

目的：探讨人工膝关节置换术（TKA）治疗严重膝关节疾病的临床疗效。方法：2003年6月～2008年6月，对85例重症膝关节疾病（102膝）使用后稳定型TKA。其中9例（10膝）为类风湿性关节炎，76例（92膝）为晚期严重骨性关节炎，5例（5膝）合并外翻畸形，60例（67膝）并内翻畸形。所有患者进行12个月～5年（平均39个月）的随访，并应用HSS膝关节评分系统进行分析。结果：手术优良率为94．12％，患者术后红疼痛、功能及关节活动度等方面都有明显改善，各种并发症的发生率较低。结论：TKA是治疗严重膝关节疾病的有效方法，严格适应证的选择和正确进行TKA的手术操作是取得满意临床效果的保证。

Clinical Analysis of Total Knee Arthroplasty for Severe Knee Joint Disease

Objective： To investigate the clinical effect of total knee arthroplasty for severe knee joint disease. Methods： From June 2003 to June 2008, 85 patients （102 knees） with severe knee joint disease were treated by total knee arthroplasty. According to disease classification, there were 9 patients （10 knees） with rheumatoid arthritis, 76 patients （92 knees） with severe osteoarthritis （5 knees with genu valgum, 67 knees with genu varum）. All the patients were followed up from 12 months to 5 years. The clinical results were reviewed by using the HSS score system. Results： The results showed that the improvement in joint function and easement of pain were excellent in 94.12 % of the patients with the lower complications. Conclusion： Total knee arthroplasty is an effective method for the treatment of severe knee joint disease.