80例全关节置换翻新术的回顾性分析

Retrospective Analysis of 80 Cases of Total Joint Arthroplasty

目的探析影响全关节置换翻新术临床效果的相关因素。方法以我院2011年8月至2013年8月期间来我院接受治疗的80例行全关节置换翻新术的患者作为研究对象展开回顾性分析,将所有患者的资料汇总,探析影响全关节置换翻新术临床效果的因素。结果 55例手术成功病例中,置换翻新术之间的间隔时间为(2.4±0.9)年,而失败病例则为(5.3±2.3)年,对比差异明显;55例手术成功病例中,21例(38.18%)患者存在原发性、继发性或者是风湿性关节炎等骨性疾病,34例(61.82%)患者采取骨水泥固定方式;25例失败病例中,存在骨性疾病的患者为17例(68.00%),仅11例(44.00%)患者采取骨水泥固定方式,对比均具有统计学意义(P<0.05)。结论关节炎等骨性疾病方面、固定方式以及置换术的间隔时间等因素对全膝关节置换翻新术的治疗结果有着重要影响。为确保患者的治疗效果并改善预后,以免患者正常生活受到影响,手术时应该重视以上问题,尽量采用骨水泥固定方式,使用合适的翻修假体,并选择临床经验丰富的医师进行手术。

Objective To explore factors affecting the clinical effects of total joint replacement surgery. Method 80 patients were taken as the research object for total joint replacement operation in our hospital from August 2011 to August 2011. All patients’ data were analyzed and summarized, and the factors influencing clinical effects of total joint replacement surgery were detected. Results For the 55 cases of successful operation, the interval time between replacement operations is （2. 4＋0. 9） years, and that of the failure cases is （5. 3＋2. 3） years, there is obvious significant difference; in 55 cases of successful operation, 21 cases （38. 18% ） were with bony disease such as primary, secondary or rheumatoid arthritis, and 34 cases （61. 82% ） were treated by bone cement fixation, a-mong the 25 failure cases, 17 cases were with bony disease （68. 00% ）, only 11 cases （44. 00% ） with bone cement fixation, and this contrast were statistically significant （P〈0. 05）. Conclusion Factors playing vital roles in the treatment of total knee replacement in-clude bony diseases like arthritis, fixation and replacement interval . In order to ensure the treatment effect, improve patients’ progno-sis, and avoid patients’ normal life being affected, issues listed above should be taken into consideration. In operation, bone cement fixation, appropriate prosthesis, and experienced doctors should be preferred.