| 全膝关节置换术治疗膝外翻畸形疗效观察 |
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| 引用本文： | 史法见,张锦洪,王芳,丁志勇. 全膝关节置换术治疗膝外翻畸形疗效观察[J]. 实用骨科杂志, 2011, 17(8): 701-703 |
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| 作者姓名： | 史法见 张锦洪 王芳 丁志勇 |
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| 作者单位： | 东南大学附属南京江北人民医院骨科,江苏,南京,210048 |
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| 摘 要： | 目的探讨膝外翻畸形患者施行全膝关节置换的手术方法和临床疗效。方法 2001年7月至2008年6月收治膝外翻畸形患者25例29膝,男5例,女20例;年龄55-75岁,平均64.3岁。手术采用髌旁内侧入路,模具引导下截骨,按Whiteside方法进行外侧软组织松解,采用后方稳定型假体。对比手术前、后股胫角变化,采用KSS评分评价手术疗效。结果 1例患者住院期间发生深静脉血栓,经溶栓治疗后症状消失。全部患者获12-48个月随访,无感染、腓总神经损伤、髌骨脱位、膝关节不稳等并发症。术后12个月平均股胫角（7.42±1.80）°,KSS临床评分（82.47±5.38）分,功能评分（86.47±4.83）分,与术前比较有统计学意义（P〈0.05）。结论膝外翻畸形施行全膝关节置换手术,术中正确截骨,合理软组织松解,保持髌骨良好运行轨迹,防止腓总神经损伤,可以获得满意疗效。
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| 关 键 词： | 全膝关节置换 外翻畸形 软组织平衡 |
Total Knee Arthroplasty in Valgus Knee |
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| SHI Fa-jian,ZHANG Jin-hong,WANG Fang,et al. Total Knee Arthroplasty in Valgus Knee[J]. Journal of Practical Orthopedics, 2011, 17(8): 701-703 |
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| Authors: | SHI Fa-jian ZHANG Jin-hong WANG Fang et al |
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| Affiliation: | SHI Fa-jian,ZHANG Jin-hong,WANG Fang,et al(Department of Orthopaedics,Jiangbei People′s Hospital,Nanjing 210048,China) |
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| Abstract: | Objective To observe the methods and efficacy of total knee arthroplasty(TKA) in patients with valgus knee deformity.Methods From July 2001 to June 2008,29 TKA were performed by means of medial parapatellar approach,standard osteotomy and Whiteside style lateral soft tissue release with posterior stabilized implants on 25 patients(5 men and 20 women) with valgus deformity.Operation evaluations including the tibial and femur angle(T-F angle) and Knee Society Score System(KSS) were followed-up.Results One pat... |
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| Keywords: | total knee arthroplasty valgus deformity soft tissue balance |
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