| 程金生 李俊霞 周永刚 王海宾 吕品.旋转平台与后稳定固定平台假体在人工膝关节置换术后的临床疗效[J].,2016,16(4):748-750 |
| 旋转平台与后稳定固定平台假体在人工膝关节置换术后的临床疗效 |
| Clinical Effects of Prosthesis of Rotating Platformand Posterior FixedBearing on Patients Undergoing Total Knee Arthroplasty |
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| DOI： |
| 中文关键词: 旋转平台 后稳定固定平台 人工膝关节置换术 假体 疗效 |
| 英文关键词: Rotating platform Posterior fixed bearing TKA Prosthesis Efficacy |
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| 中文摘要: |
| 目的：探讨旋转平台与后稳定固定平台假体在人工膝关节置换术（TKA）后的临床治疗效果。方法：选择2008 年8 月到2014
年8 月在我院接收人工膝关节置换术的218 例患者，随机分为对照组和实验组，分别采用后稳定固定平台假体和旋转平台假体
行TKA。观察并记录两组患者治疗前和治疗后6 个月世界膝关节学会（KSS）评分、美国膝关节学会（HSS）评分和膝关节的屈曲度
（ROM），以及治疗后6个月并发症的发生情况。结果：治疗后，两组患者KSS评分、HSS 评分及ROM评分均明显高于治疗前，差
异有统计学意义（P<0.05）；两组患者KSS评分、HSS评分及ROM评分相比，差异无统计学意义（P>0.05）。实验组患者并发症发生
率（9.17%）和对照组患者并发症发生率（10.09%）相比，无统计学意义（P>0.05）。结论：旋转平台与后稳定固定平台假体在TKA中
均能有效改善膝关节的功能，两者疗效相近，均值得在临床推广应用。 |
| 英文摘要: |
| Objective:To investigate the clinical efficacy of prosthesis of rotating platform and posterior fixed bearing on patients
undergoing total knee arthroplasty.Methods:A total of 218 patients, who underwent total knee arthroplasty in General Hospital of
Jizhong Energy Fengfeng Group from August 2008 to August 2014, were selected and randomly divided into control group (n=109,
treated with posterior fixed bearing for TKA) and experiment group (n=109, treated with rotating platform for TKA). Both groups were
followed up for 6 months after undergoing the operation, and the KSS ratings, HSS ratings, ROM ratings and the complications after
operation were recorded and compared before and 6 months after operation.Results:KSS ratings, HSS ratings and ROMratings of both
groups after operation were significantly higher than those before operation (P<0.05). There were no significant differences in the KSS
ratings, HSS ratings and ROMratings between the two groups (P>0.05). There was no significant difference between the complication
（9.17%）of the experimental group and that10.09%）of the control group (P>0.05).Conclusion:Both prosthesis of rotating platform and
posterior fixed bearing have similar curative effects in patients undergoing total knee arthroplasty, which can improve the functions of
knee joints effectively and are worthy of clinical application. |
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