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影响膝关节置换术术后膝前痛的相关因素
引用本文:Zou YG,Chen ZW,Feng ZQ,Xing JS. 影响膝关节置换术术后膝前痛的相关因素[J]. 南方医科大学学报, 2011, 31(8): 1428-1430
作者姓名:Zou YG  Chen ZW  Feng ZQ  Xing JS
作者单位:佛山市中医院骨九科,广东佛山,528000
基金项目:广东省医学类科技公关项目(201008031)
摘    要:目的探讨膝关节骨关节炎患者膝关节置换术(total kneearthro plasty,TKA)术后膝前痛的发生率及其相关因素。方法自2007年1月~2010年1月128例在我院初次单侧膝关节置换术的骨性关节炎患者,入院后随机分为2组,实验组64例,安装骨水泥型髌骨假体;对照组64例,仅作髌骨去神经化处理,不做髌骨置换;观察2组患者膝前痛的发生率。术前膝关节内、外翻畸形和膝关节置换术后膝前痛的关系。结果所有患者随访6~24月,平均16.5月。实验组患者膝前痛发生率10.9/%(7/64),对照组膝前痛发生率为14.1%(9/64);两组比较无显著差异。膝内、外翻畸形患者,TKA术后膝前痛的发生率为21.2%(11/52)。结论 TKA术中在置换髌骨,并不能降低膝前痛的发生率。术前膝内、外翻畸形患者术后膝前痛并发症的发生率较高。

关 键 词:膝关节置换术  并发症  膝前痛

Factors related to anterior knee pain after total knee arthroplasty
Zou Yong-gen,Chen Zhi-wei,Feng Zong-quan,Xing Ji-si. Factors related to anterior knee pain after total knee arthroplasty[J]. Journal of Southern Medical University, 2011, 31(8): 1428-1430
Authors:Zou Yong-gen  Chen Zhi-wei  Feng Zong-quan  Xing Ji-si
Affiliation:ZOU Yong-gen,CHEN Zhi-wei,FENG Zong-quan,XING Ji-si Ninth Department of Orthopedic Surgery,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China
Abstract:Objective To investigate the incidence rate of anterior knee pain after total knee arthroplasty(TKA) and identify the related factors.Methods This prospective,double-blind clinical trial involved a total of 128 patients scheduled for primary ipsilateral cemented three-component TKA for osteoarthrosis.The patients were randomized into two groups to receive operations for TKA with patellar resurfacing(experimental group) or not(control).The incidence of anterior knee pain was observed in these patients and th...
Keywords:total knee arthroplasty  complication  anterior knee pain  
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