摘要
【目的】回顾性分析、比较全膝关节置换术中髌骨置换与否对膝前痛发生的影响,为临床治疗提供参考。【方法】对1994年10月~2004年10月行人工全膝关节置换术病人125例(148膝)按髌骨置换(84膝)和未置换(64膝)分为2组,并对其随访资料进行分析,膝关节评分采用HSS评分系统,髌骨评分采用Feller评分标准。结果使用SPSS统计软件进行统计学分析。【结果]置换组HSS评分由术前的(39.6±39.8)分进步为末次随访时的(90.9±8.2)分,髌骨评分由(14.4±6.4)分进步到(25.2±4.8)分,膝前痛分数也由(4.6±3.9)分进步为(10.6±4.1)分;未置换组HSS评分由术前的(38.8±9.8)分进步为(90.2±8.9)分,髌骨评分由(14.2±6.2)分进步到(25.1±4.8)分,膝前痛分数也由(4.8±3.8)分进步为(10.3±4.1)分。2组患者末次随访时膝前痛均较术前明显减轻,差异有显著性意义;置换组与未置换组比较,膝前痛减轻的差别无显著性意义。[结论]无论髌骨置换与否,患者的合理选择和正确的手术操作是避免术后膝前痛的关键所在。
[ Objective] To compare retrospectively the clinical outcome in total knee arthroplasty with and without patellar resurfacing. [Method] From October 1994 to October 2004, 125 patients ( 148 knees) with osteoarthritis were enrolled in the clinical trial of total knee arthroplasty, patients received resurfacing (84 knees ) or retention patellar (64 knees ) . Evaluation was done from preoperatively to final followed-up postoperatively. The patients were scored using American HSS Score for knee and the Feller Score for patalla. The data were analyzed using SPSS software. [ Result ] In resurfacing patella group, the preoperative and final follow-up HSS scores of patients were ( 39. 6 ± 9. 8 ) and (90. 9 ± 8.2) points respectively, scores of patailar were ( 14. 4 ± 6. 4) and ( 25.2 ± 4. 8), scores of anterior knee pain were (4.6 ± 3.9) and ( 10. 6 ± 4. 1 ). In nonresurfacing patella group, the preoperative and final follow-up HSS scores of patients were ( 38. 8 ± 9. 8) and (90. 2 ± 8.9) points respectively, scores of patallar were ( 14. 2 ± 6. 2 ) and ( 25.1 ± 4. 8 ), scores of anterior knee pain were ( 4. 8 ± 3. 8 ) and ( 10. 3 ± 4. 1 ). There were significant differences in beth groups preoperatively and postoperatively in anterior knee pain score, but no significant difference between the two groups in anterior knee pain score. [ Conclusion ] Whether the patellar replaced or not, the most importance for avoiding anterior knee pain postoperatively is the reasonable selection of patient and correct operation.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2007年第5期347-350,共4页
Orthopedic Journal of China
关键词
关节成形术
置换
膝
髌骨
疼痛
arthroplasty
replacement
knee
patella
pain