| 人工全膝关节置换术在外翻膝的临床应用 |
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| 引用本文： | 徐美涛,查振刚,刘宁,叶永胜,苗贵强,李劼若,吴昊,林宏生.人工全膝关节置换术在外翻膝的临床应用[J].中国矫形外科杂志,2011,19(2):109-112. |
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| 作者姓名： | 徐美涛 查振刚 刘宁 叶永胜 苗贵强 李劼若 吴昊 林宏生 |
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| 作者单位： | 暨南大学附属第一医院骨科,暨南大学骨科疾病研究所,广州市黄埔大道西613号,510630 |
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| 摘 要： | 目的]探讨人工全膝关节置换术在外翻膝中的手术技术和临床疗效.方法]2004年3月～2008年9月,对14例16个外翻膝行膝前正中、髌旁内侧入路,常规截骨、外侧软组织松解,后方稳定型假体或后交叉韧带保留型假体的人工全膝关节置换术进行回顾性研究.患者男3例,女11例,平均年龄60.5岁(45～77岁).经过随访比较手术前后膝关节屈伸活动度、KSS评分、膝关节X线情况来评估手术临床效果.结果]术后平均随访42个月(24～54个月),膝关节屈伸活动度由术前平均82°(伸直0°～屈曲120°)提高到术后120°(伸直0°～屈曲150°);KSS评分:临床评分由术前平均43分(10～65分)提高到术后平均83.9分(70～100分),功能评分由术前平均52.9分(30～70分)提高到术后平均89.3分(75～100分);胫股角由术前平均16.5°(8°～30°)改善纠术后平均7°(5°～10°),膝外翻畸形得到良好的矫正.随访中无深静脉血栓、膝关节感染、髌骨半脱位或脱位并发症发生.结论]膝前正中、髌旁内侧入路,常规截骨、外侧软组织松解,后方稳定型假体或后交叉韧带保留型假体的TKA治疗外翻膝临床疗效满意.
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| 关 键 词： | 人工全膝关节置换术 外翻膝 软组织平衡 |
Total knee replacement in valgus knee |
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| XU Mei-tao,ZHA Zhen-gang,LIU Ning,et al..Total knee replacement in valgus knee[J].The Orthopedic Journal of China,2011,19(2):109-112. |
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| Authors: | XU Mei-tao ZHA Zhen-gang LIU Ning |
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| Affiliation: | XU Mei-tao,ZHA Zhen-gang,LIU Ning,et al.Department of Orthopedics,The First Affiliate Hospital of Jinan University,Guangzhou 510630,China |
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| Abstract: | Objective]To investigate the methods and clinical efficacy of total knee arthroplasty(TKA) in patients with valgus knee deformity.Method]Between March 2004 and September 2008,16 TKAs were performed by means of medial parapatellar approach,standard osteotomy,and lateral soft tissue release with posterior stabilized implants or cruciate retaining prosthesis in 14 patients(3 men and 11 women)with valgus deformity,the average age at the time of operation was 60.5 years(range,45-77 years).The clinical efficacy... |
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| Keywords: | total knee arthroplasty valgus knee soft tissue balance |
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