王炜;林进;翁习生;金今;钱文伟;邱贵兴;

• 1:中国医学科学院北京协和医院骨科

摘要(Abstract)：

目的研究TKA患者膝关节胫骨平台冠状位倾斜度与临床结果之间的关系。方法回顾性分析我科自2004年1月至2005年2月期间TKA的骨关节炎病例261例。按术后胫骨平台假体内外翻情况分为3组:A组(外翻组)、B组(中立组)和C组(内翻组)。结果 A、B、C三组间在患者性别比例、年龄、体重指数、止血带时间、术后引流量、术后住院时间方面无显著差异。术前膝关节畸形情况各组间无显著差异。各组间术前ROM及HSS评分无显著差异。在术后2周时的膝关节活动度方面,A组与B、C两组间均存在显著差异(P<0.01),B组与C组间存在显著差异(P<0.05)。术后2周时HSS评分,A组与B、C两组间均存在显著差异(P<0.05),但B组与C组间无显著差异。术后2年HSS评分A、B、C三组间无显著差异。A组中有1例、B组中有2例,C组中有2例伤口脂肪液化;B组中有3例、C组中有1例术后出现患肢小腿肌间静脉血栓。结论 TKA术后冠状位倾斜度与术前因素、手术因素及手术并发症之间无显著相关性。TKA术后力线对近期临床结果可能有显著影响。通过进一步康复锻炼可弥补力线对长期临床结果的影响。

关键词(KeyWords)： 骨关节炎;全膝关节置换;力线;内翻;外翻;冠状面平衡;胫骨假体

Abstract:

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基金项目(Foundation):

作者(Authors): 王炜;林进;翁习生;金今;钱文伟;邱贵兴;

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