| 人工全膝关节置换术治疗膝关节骨性关节炎并内翻畸形疗效观察 |
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| 引用本文： | 从先锐. 人工全膝关节置换术治疗膝关节骨性关节炎并内翻畸形疗效观察[J]. 中国基层医药, 2014, 0(15): 2317-2318 |
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| 作者姓名： | 从先锐 |
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| 作者单位： | 山东省单县东大医院骨科,274300 |
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| 摘 要： | 目的：探讨人工全膝关节置换术（TKA）治疗膝关节骨性关节炎（KOA）并内翻畸形的临床疗效。方法对41例（52膝） KOA伴内翻屈曲畸形患者行TKA治疗，观察临床疗效。结果患者术后膝关节内翻角度（174．50±2．10）°、屈曲挛缩度（0．30±0．16）°、HSS膝关节评分（87．60±4．70）分、疼痛分（29．61±2．76）分均较术前的（19．80±1．30）°、（21．20±0．90）°、（37．30±3．50）分、（7．38±1．43）分明显改善（t＝451．68、165．99、69．05、51．57，均P＜0．05）。结论 TKA治疗KOA伴内翻屈曲畸形疗效理想，准确的切骨、膝关节周围软组织的彻底松解平衡，是矫正内翻屈曲挛缩畸形的关键。
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| 关 键 词： | 骨关节炎 膝 膝关节 人工 |
Observation of the effect of TKA in the treatment of knee osteoarthritis patients with varus deformity |
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| Cong Xianrui. Observation of the effect of TKA in the treatment of knee osteoarthritis patients with varus deformity[J]. Chinese Journal of Primary Medicine and Pharmacy, 2014, 0(15): 2317-2318 |
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| Authors: | Cong Xianrui |
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| Affiliation: | Cong Xianrui (Department of Orthopedics ,Dongda Hospital in Shan County, Shandong 274300, China) |
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| Abstract: | Objective To explore the clinical effect of aritificial total knee arthroplasty （ TKA） in the treat-ment of knee osteoarthritis （ KOA） patients with varus deformity .Methods 41 KOA patients （ 52 knees ） with varus deformity were treated by TKA ,and the clinical effect was observed .Results After treatment ,the knee varus angle , flexion contracture degrees,HSS score were （174.50 ±2.10）°,（0.30 ±0.16）°,（87.60 ±4.70）points,respective-ly,which were significantly improved compared with [（19.80 ±1.30）°,（21.20 ±0.90）°,（37.30 ±3.50）points] before treatment （t=451.68,165.99,69.05,51.57,all P〈0.05）.Conclusion TKA has an ideal efficacy for knee flexion deformity ,accurately cut bone and soft tissue balance correction is the key in turned knee flexion contracture deformity surgery . |
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| Keywords: | Osteoarthritis knee Knee prosthesis aritificial |
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