人工全膝关节置换术治疗膝关节骨关节炎27例

Report of total knee arthroplasty for osteoarthritis of knee joint in 27 cases

目的评价人工膝关节置换术治疗膝关节骨关节炎临床疗效。方法本院自2007年7月至2009年6月采用人工全膝关节置换术治疗膝关节骨关节炎27例（30膝）。结果随访时间4-24个月,平均10个月,无一例失访;应用HSS膝关节评分系统评定疗效：优：25膝（83.3%）,良：4膝（13.3%）,可：1膝（3.3%）,优良率96.7%。结论人工全膝关节置换术可有效缓解骨关节炎疼痛,改善膝关节功能,近期疗效满意,但其远期疗效还需进一步观察。

Objective To estimate the clinical effective of total knee arthroplasty（TKA） for osteoarthritis of knee joint.Methods Twenty-seven patients（30knees） with osteoarthritis of knee joint were selected for TKA（6 males,21 females）.The patients aged from 50 to 76 years（average 63.2 years）.Left knee was in 11cases and right knee was 13 cases.Simultaneous bilateral was performed in 3 cases.Results All patients were followed up from 4 to 24 months with the average of 10 months.According to HSS system,the results were excellent in 25 cases（83.3%） and good in 4 cases（13.3%） and fair in 1 case（3.3%）,and the excellent and good rate was 96.7%.Conclusion Total knee arthroplasty can release knee pain and improve knee function.The short term effect is satisfactory,but long term follow-up is needed.