人工膝关节表面置换术16例临床分析

Clinical Analysis of 16 cases of Artificial Knee Joint Arthroplasty

目的：介绍膝关节表面置换治疗膝关节炎的方法，探讨其疗效.方法：我院自2009年10月～2013年8月，对16例患者22个膝关节施行膝关节表面置换术.结果：随访资料完备，随访5～18个月，平均10.7个月，膝关节（HSS）评分，均增加到80分以上；膝关节活动范围（ROM）增加至90＆#176;以上.术中1例发生早期并发症.结论：人工膝关节表面置换术（TEA）可有效缓解关节疼痛，改善膝关节活动度，并矫正膝关节畸形，是治疗终末期膝关节疾病的有效方法，可以在基层医院推广应用.

Objective：To introduce the method of total knee arthroplasty（TEA）in the treatment of knee osteoarthritis, and to investigate its efficacy. Methods：From October 2009 to August 2013, 16 patients（22 knees）were treated with total knee arthroplasty. Results：The follow-up data was complete and the follow-up period was 5 to 18 months with an average of 10.7 months. The patients’hospital for special surgery（HSS）score was increased to 80 points or more;range of motion（ROM）of knee joint increased to 90＆#176; or more. Early complications occurred in 1 case. Conclusion：TEA can effectively relieve joint pain, improve knee joint ROM, and correct the knee joint deformity, so it is an effec-tive method for the treatment of end-stage knee joint disease, and it is can be generalized in the primary hospital.