[1]程韶,王上增.Oxford活动型半月板单髁置换术治疗膝骨关节炎[J].中医正骨,2016,28(04):53-56.
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Oxford活动型半月板单髁置换术治疗膝骨关节炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年04期
页码:
53-56
栏目:
临床报道
出版日期:
2016-04-20

文章信息/Info

作者:
程韶1王上增2
1.河南中医药大学,河南 郑州 450008; 2.河南省中医院,河南 郑州 450002
关键词:
骨关节炎 关节成形术置换 活动型半月板假体
摘要:
目的:观察Oxford活动型半月板单髁置换术治疗膝骨关节炎的临床疗效和安全性。方法:2012年7月至2014年6月,采用Oxford活动型半月板单髁置换术治疗膝骨关节炎患者21例,男7例、女14例。年龄60~75岁,中位数63岁。患者体质量55~65 kg,中位数57 kg; 体质量指数18~26 kg·m-2,中位数23 kg·m-2。左侧12例,右侧9例。所有患者膝关节内侧均疼痛,站起和负重行走时加重,膝关节活动轻微受限; 膝关节活动度90°~105°,中位数96°; 内翻畸形5°~15°,中位数9°; 均为伸直位内翻畸形,屈曲90°时内翻畸形消失; 髌股关节研磨试验阳性2例,阴性19例。膝关节内侧关节间隙均变窄或消失。术后随访观察切口愈合、并发症发生、膝关节活动度及功能改善情况。结果:切口均甲级愈合。所有患者均获随访,随访时间1~3年,中位数2年。假体位置良好,均无假体脱位、假体周围感染、脂肪栓塞及下肢深静脉血栓形成等并发症发生。膝关节活动度由术前94.38°±3.53°提高至术后1周121.29°±7.45°、术后1年128.43°±5.93°。采用美国膝关节协会评分标准评价疗效,膝关节评分由术前(53.19±4.77)分提高至术后1周(86.14±3.75)分、术后1年(87.24±4.37)分,患者功能评分由术前(47.14±4.52)分提高至术后1周(85.52±3.94)分、术后1年(86.67±3.97)分。结论:采用Oxford活动型半月板单髁置换术治疗膝骨关节炎,能够改善膝关节活动度,有利于膝关节功能的恢复,并发症少,值得临床推广应用。

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备注/Memo

备注/Memo:
通讯作者:王上增 E-mail:wangsz74@163.com
更新日期/Last Update: 2016-08-30