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全膝关节置换治疗僵硬膝关节疗效观察
引用本文:张亦军,郑良孝,万连平.全膝关节置换治疗僵硬膝关节疗效观察[J].中国医药导报,2011,8(19):41-42.
作者姓名:张亦军  郑良孝  万连平
作者单位:山东省青岛市骨伤科医院,山东青岛,266021
摘    要:目的:探讨全膝关节置换(TKA)治疗膝关节僵硬的疗效。方法:对经临床和X线证实的61例66膝膝关节僵硬行全膝关节置换,术后进行有效康复锻炼,观察术前及最后随访时膝关节屈伸活动范围,采用美国特种外科医院评分(HSS)等进行比较,评价其临床疗效并观察术后并发症发生情况。结果:本组61例患者最后随访时膝关节屈伸活动范围较术前显著改善(95.0±11.3)°vs(40.4±4.9)°,t=2.782,P〈0.01],HSS评分较术前显著提高(89.2±5.8)分vs(43.7±6.5)分,t=2.805,P〈0.01]。经术后有效康复锻炼,本组疗效优良率为96.72%,共5例(8.19%)发生并发症。结论:结合术后合理康复锻炼,全膝关节置换治疗膝关节僵硬可获得较好的临床疗效,值得临床推广应用。

关 键 词:全膝关节置换  膝关节僵硬  疗效

Observation on efficacy of total knee arthroplasty in the treatment of anchylosis of knee joint
ZHANG Yijun,ZHENG Liangxiao,WAN Lianping.Observation on efficacy of total knee arthroplasty in the treatment of anchylosis of knee joint[J].China Medical Herald,2011,8(19):41-42.
Authors:ZHANG Yijun  ZHENG Liangxiao  WAN Lianping
Institution:ZHANG Yijun,ZHENG Liangxiao,WAN Lianping Orthopaedic Hospital of Qingdao City,Shandong Province,Qingdao 266021,China
Abstract:Objective:To investigate the efficacy of total knee arthroplasty(TKA) in the treatment of anchylosis of knee joint.Methods:A total of 61 cases(66 knees) with anchylosis of knee joint confirmed by clinical data and X-ray were performed TKA,and effective rehabilitation exercise was performed after surgery,the preoperative and follow-up flexion range of knee joint and HSS score were observed and compared,then the clinical efficacy and postoperative complications were also evaluated.Results:The follow-up flexio...
Keywords:Total knee arthroplasty  Anchylosis of knee joint  Efficacy  
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