膝关节置换术中髌骨成形与髌骨置换治疗膝关节骨关节炎对患者膝关节及髌骨功能的影响

Impact of Patelloplasty and Patellar Replacement in the Treatment of Knee Osteoarthritis during Knee Arthroplasty on Patients'Knee Joint and Patella Function

目的对比膝关节置换术中髌骨成形与髌骨置换治疗膝关节骨关节炎对患者膝关节及髌骨功能的影响。方法选择2020年3月至2022年4月我院收治的膝关节骨关节炎患者100例,随机分为成形组(髌骨成形)与置换组(髌骨置换)各50例,比较两组患者膝关节功能、髌骨功能及术后并发症发生情况。结果术后6个月、9个月、12个月,置换组KSS膝关节功能评分高于成形组(P<0.05)。术后9个月、12个月,置换组Feller髌骨功能评分高于成形组(P<0.05)。两组术后并发症发生率比较无统计学差异(P>0.05)。结论与髌骨成形相比,髌骨置换在膝关节置换术中效果更好,可促进膝关节骨关节炎患者术后膝关节、髌骨功能恢复。

Objective To compare the impact of patellaplasty and patellar replacement in the treatment of knee osteoarthritis during knee arthroplasty on patients'knee joint and patellar function.Methods 100 patients with knee osteoarthritis admitted to our hospital from March 2020 to April 2022 were selected and randomly divided into patellaplasty group(50 cases,patellaplasty)and arthroplasty group(50 cases,patellar replacement).The knee joint function,patellar function and postoperative complications of the two groups were compared.Results 6 months,9 months,and 12 months after surgery,the KSS knee joint function scores of the arthroplasty group were higher than those of the patellaplasty group(P<0.05).9 months and 12 months after surgery,the Feller patellar function scores of the arthroplasty group were higher than those of the patellaplasty group(P<0.05).No statistical difference was found in the incidence of postoperative complications between the two groups(P>0.05).Conclusions Compared with patellaplasty,patellar replacement has better effect in knee arthroplasty,which can promote the recovery of knee joint and patellar function in patients with knee osteoarthritis.