全膝表面置換術治療晚期痛風性膝關節(jié)炎臨床療效

1、全膝表面置換術治療晚期痛風性膝關節(jié)炎臨床療效 10-05-04 14:45:00 作者：張小兆，楊杰山編輯：studa20【摘要】 目的 分析人工全膝表面置換治療晚期痛風性膝關節(jié)炎的臨床效果。方法 選擇2001年3月2007年7月青海大學附屬醫(yī)院骨科關節(jié)組收治的9例10膝晚期痛風性膝關節(jié)炎病例,均行全膝關節(jié)表面置換術,其中單膝關節(jié)置換8例,雙膝關節(jié)置換1例,采用后方穩(wěn)定型假體，隨訪資料完整。結(jié)果所有患者均獲得1年以上的隨訪。采用HSS評分系統(tǒng)進行分析,優(yōu)6膝,良2膝,可2膝。對患者手術前和隨訪時HSS評分進行t檢驗有顯著性差異（P0.05）?；颊咝g后在疼痛、功能方面都有明顯改善。結(jié)論全膝關節(jié)表

2、面置換術對治療晚期痛風性膝關節(jié)炎效果滿意。手術前后控制血尿酸、術中徹底清除尿酸鹽結(jié)晶、精確的截骨操作、正確的軟組織松解及術后指導康復是手術治療成功的關鍵。 【關鍵詞】 全膝表面置換； 痛風性膝關節(jié)炎； 膝 Abstract: ObjectiveTo analyse the clinical effect of total knee resurface replacement treatment for advanced knee gouty arthritis. MethodFrom March 2001 to July 2007，nine patients with advanced gou

3、ty knee arthritis (total 10 knees) were treated with total knee resurface replacement with posterior stability prosthesis in the authors research group. Among them, eight patients had unilateral knees and one had bilateral knees .Following-up data were successfully obtained.ResultAll the patients we

4、re followed up for at least one year.HSS Score system revealed that six knees were rated as excellent, two as good and two as fair.Either preoperative or follow-up HSS scores was analysed by T-test and their significant differences were observed (P 85分為優(yōu), 7084分為良, 6069分為可, 60分以下為差。膝關節(jié)評分由術前（40.5010.70）分(1651分)提高到術后（86.208.42）分(6796分) ,其中優(yōu)6膝,良2膝,可2膝，所有患者都未發(fā)生感染、假體松動或骨溶解等遠期不良的生物相容性反應。切口愈合均為/甲。10膝的活動度均90,平均膝關節(jié)活動度