[1]王跃辉,邹士平,宋树春,等.螺钉和骨水泥修复膝关节置换术中胫骨平台骨缺损[J].中医正骨,2016,28(01):57-59.
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螺钉和骨水泥修复膝关节置换术中胫骨平台骨缺损()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年01期
页码:
57-59
栏目:
临床报道
出版日期:
2016-01-20

文章信息/Info

作者:
王跃辉邹士平宋树春王爱国程慧白玉
河南省郑州市骨科医院,河南 郑州 450052
关键词:
关节成形术置换 胫骨平台 骨缺损 骨螺丝 骨水泥
摘要:
目的:探讨螺钉和骨水泥修复膝关节置换术中胫骨平台骨缺损的疗效及安全性。方法:2009年1月至2013年10月,采用螺钉和骨水泥修复膝关节置换术中胫骨平台骨缺损20例,男5例、女15例。年龄60~76岁,中位数65岁。左侧11例,右侧9例。膝骨关节炎19例,类风湿关节炎1例。单膝置换15例,双膝置换5例。术后随访观察并发症发生及膝关节功能恢复情况。结果:所有患者均获随访,随访时间1~5年,中位数2.4年。均未出现切口感染、关节僵硬、假体及螺钉松动、移位或断裂,骨水泥界面无透亮区。美国膝关节协会评分(knee society score,KSS)术前为(43.2±3.5)分,末次随访时为(91.2±4.3)分。结论:螺钉和骨水泥修复膝关节置换术中胫骨平台骨缺损,具有固定强度高、并发症少等优点,可以促进膝关节功能恢复,值得临床推广应用。

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备注/Memo

备注/Memo:
基金项目:河南省中医药科学研究专项课题(2015ZY02080); 郑州市科技攻关项目(20150141)
更新日期/Last Update: 2016-02-29