本文選題：人工全膝關(guān)節(jié)置換術(shù) + 脛骨平臺(tái)��； 參考：《中國(guó)修復(fù)重建外科雜志》2017年09期

【摘要】：目的總結(jié)人工全膝關(guān)節(jié)置換術(shù)(total knee arthroplasty,TKA)中采用骨水泥聯(lián)合螺釘修復(fù)脛骨平臺(tái)骨缺損的近期療效。方法 2013年3月—2016年3月,對(duì)30例行初次TKA患者術(shù)中采用骨水泥聯(lián)合螺釘修復(fù)脛骨平臺(tái)骨缺損。男8例,女22例;年齡55~71歲,平均64.7歲。左膝17例,右膝13例。骨關(guān)節(jié)炎22例,類風(fēng)濕性關(guān)節(jié)炎8例。病程9~27個(gè)月,平均14個(gè)月。膝關(guān)節(jié)學(xué)會(huì)評(píng)分系統(tǒng)(KSS)評(píng)分為(41.63±6.76)分,美國(guó)特種外科醫(yī)院(HSS)評(píng)分為(38.10±7.00)分。膝內(nèi)翻畸形19例,膝外翻畸形11例。脛骨平臺(tái)骨缺損根據(jù)Rand分型標(biāo)準(zhǔn),均為Ⅱb型。結(jié)果術(shù)后切口均Ⅰ期愈合,無(wú)感染、下肢深靜脈血栓形成等并發(fā)癥發(fā)生�；颊呔@隨訪,隨訪時(shí)間10~42個(gè)月,平均27.5個(gè)月。末次隨訪時(shí),HSS評(píng)分為(90.70±4.18)分、KSS評(píng)分為(93.20±3.75)分,與術(shù)前比較差異均有統(tǒng)計(jì)學(xué)意義(t= 58.014,P=0.000;t= 60.629,P=0.000)。X線片復(fù)查示,均未出現(xiàn)假體下沉、骨溶解、骨吸收、螺釘松動(dòng)、骨水泥斷裂等并發(fā)癥。結(jié)論 TKA術(shù)中采用骨水泥聯(lián)合螺釘修復(fù)嚴(yán)重膝內(nèi)、外翻并發(fā)的脛骨平臺(tái)骨缺損,簡(jiǎn)便、安全,近期療效較好。
[Abstract]:Objective to summarize the short term effect of total knee arthroplasty with bone cement combined with screw in repairing tibial plateau bone defect. Methods from March 2013 to March 2016, 30 patients with primary TKA were treated with bone cement combined with screw to repair tibial plateau defect. There were 8 males and 22 females, aged 5571 years with an average age of 64.7 years. Left knee 17 cases, right knee 13 cases. Osteoarthritis 22 cases, rheumatoid arthritis 8 cases. The course of disease ranged from 9 to 27 months (mean 14 months). The scores of KSS and HSS were 41.63 鹵6.76 and 38.10 鹵7.00, respectively. There were 19 cases of varus genu deformity and 11 cases of genu valgus malformation. The defect of tibial plateau was type 鈪，

本文編號(hào)：1908888