215例人工全膝关节置换疗效分析

目的：探讨人工全膝关节置换术近、中期临床疗效。方法施行人工全膝关节置换术215例（260膝）中，男93例，女122例，年龄（36-89）岁，平均67.5岁；左膝135例，右膝125例；原发疾病骨性关节炎（120例），类风湿性关节炎（38例），创伤性关节炎（26例），不明病因31例。双侧膝关节同期置换45例90膝，单侧膝关节置换170例。随访时间6个月-10年，平均50个月，采用HSS、KSS膝关节评分系统对手术前后进行分析。结果术后膝关节功能有显著改善，膝关节评分系统HSS、KSS术前及随访时比较差异有统计学意义（P〈0.05）。结论人工全膝关节置换术显著改善了膝关节功能，提高了患者生活质量，其近、中期疗效确切。

Objective To study the short and medium-term clinical clinical effect of total knee arthroplasty（TKA）in 215 patients in our hospital. Methods From February 1999 to June 2011,215 patients（260 knees）were retrospectively reviewed and followed up,the mean follow-up period was 50 months（range from 6 months to 10 years）.The HSS score and the KSS score were used to evaluate the outcomes of TKA at the time of pre-operation and follow-up respectively. Results The follow-up showed that after the operation,the function of knee was improved effectively,The HSS score and the KSS score were significantly improved compared with pre-operation（P〈0.05）. Conclusion TKA improves the function of knee effectively and the quality of patients＇ life, the short and medium-term effects of TKA are satisfactory.