摘要
目的对比分析髌骨置换与髌骨成形在全膝关节置换术治疗膝关节骨性关节炎中的应用效果.方法将2018年1月—2019年4月在该院行全膝关节置换术的48例(65膝)膝关节骨性关节炎患者按治疗方式分成两组,对照组24例(33膝)行髌骨成形术,观察组24例(32膝)行髌骨置换术,比较两组患者术前及末次随访时膝关节功能评分、髌骨评分、术后膝前痛发生情况以及并发症发生率.结果所有患者均完成随访,随访时间为12~24个月,平均(16.0±2.4)个月.末次随访时,观察组患者膝关节美国纽约特种外科医院评分、髌骨评分均高于对照组,组间差异有统计学意义(P<0.05).观察组术后膝前痛发生率低于对照组,差异有统计学意义(P<0.05).两组患者均无假体松动、髌骨骨折、髌骨脱位、髌骨坏死等严重并发症发生.观察组有2例发生髌骨弹响,并发症发生率为6.25%;对照组有1例发生髌骨弹响,并发症发生率为3.03%.两组并发症发生率比较,差异无统计学意义(P>0.05).结论全膝关节置换术中行髌骨置换可有效促进患者膝关节功能恢复,且有利于减少膝前痛的发生,术后并发症较少.
Objective To compare and analyze the application effects of patella replacement and patella formation in the treatment of knee osteoarthritis by total knee arthroplasty Methods The 48 patients(65 knees)with knee osteoarthritis who underwent total knee arthroplasty in this hospital from January 2018 to April 2019 were divided into two groups according to the treatment method.24 patients(33 knees)in the control group underwent patella formation,and 24 patients(32 knees)in the observation group underwent patella replacement.The knee joint function scores,patella scores,postoperative anterior knee pain,and complication rates were compared between the two groups of patients before and at the last follow-up.Results All patients completed the follow-up,the follow-up time was 12-24 months,with an average of(16.0±2.4)months.At the last follow-up,the Hospital for Special Surgery score and patella score of the observation group were higher than those of the control group,and the difference between the groups was statistically significant(P<0.05).The incidence of postoperative knee pain in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).No serious complications such as prosthesis loosening,patella fracture,patella dislocation,or patella necrosis occurred in both groups.In the observation group,there were 2 cases of patella snapping,and the complication rate was 6.25%;in the control group,there was 1 case of patella snapping,and the complication rate was 3.03%.There was no statistically significant difference in the incidence of complications between the two groups(P>0.05).Conclusion Patella replacement in total knee arthroplasty can effectively promote the recovery of knee joint function in patients,and help reduce the incidence of anterior knee pain,with fewer postoperative complications.
作者
李时斌
陈涛
章晓云
冯飞
赖心建
LI Shibin;CHEN Tao;ZHANG Xiaoyun;FENG Fei;LAI Xinjian(Graduate School of Guangxi University of Traditional Chinese Medicine,Nanning Guangxi,530000,China;Department of Trauma Orthopedics and Hand Surgery,Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning Guangxi,530000,China)
出处
《反射疗法与康复医学》
2021年第17期76-79,共4页
Reflexology And Rehabilitation Medicine
作者简介
李时斌(1995-),男,湖南邵阳人,硕士研究生在读,研究方向:骨与关节疾病及运动损伤;通讯作者:陈涛(1974-),男,河南洛阳人,硕士研究生,副主任医师,研究方向:骨与关节疾病及运动损伤,邮箱:chentaoky@163.com。
