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ID:31489261
大小:1.18 MB
页数:43页
时间:2019-01-12
《股骨髁上截骨联合关节镜手术治疗膝外翻畸形》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、万方数据摘要摘要目的研究讨论股骨髁上杵臼状截骨术结合膝关节镜手术治疗膝外翻畸形方法的疗效价值。方法选自2008年9月至2012年5月之间的32例(35膝)成人膝外翻畸形患者,对其予以股骨髁上截骨术联合关节镜手术进行矫正治疗。所有患者中,男性为7例(8膝),女性为25例(27膝),平均年龄为43岁,矫正术前对所有患者进行患侧膝关节HSS功能评分,平均得分为60.46分,常规对所有患者行手术前后的负重位双侧膝关节正侧位及双下肢全长正位X线检查,并且确保所有患者投照条件均保持一致,于膝关节X线影像上测量股骨角、股胫角
2、,对其计算、对比。患者术后平均12个月后取出内固定物,并对所有患者保持随访,时间平均为24月,在此期间密切观察患者畸形矫正后情况、患侧膝关节状态变化以及截骨端愈合情况。结果对所有患者平均随访24个月,结果显示患者膝关节外翻畸形矫正确切,截骨角度无丢失,骨愈合情况良好,膝关节肿胀、疼痛等症状明显减轻或消失,术后患侧膝关节HSS功能评分平均为85.4分。结论股骨髁上杵臼状截骨术结合膝关节镜手术治疗膝外翻的方法,是科学、有效的,其在膝外翻矫正上是一种疗效满意的手术方式。图25幅;表5个;参135篇。关键词:膝外翻;髁
3、上截骨;膝关节镜;矫形;下肢力线分类号:R686.5-I-万方数据河北联合大学硕士学位论文AbstractObjectiveToinvestigateandresearchthecurativeeffectofsupracondylarosteotomyoffemurcombinedwitharthroscopyofthekneeforthetreatmentofthevalgusdeformityofknees.MethodsChoicing32patients(35knees)withvalgusdefor
4、mityofkneesweretreatedwithsupracondylarosteotomyoffemurcombinedwitharthroscopyofkneefromSeptember2008toMay2012.Theaverageagewas35yearsconsistedof7male(8knees)and25female(27knees).AllthepeopleinthestudygroupweretestbyHSSkneescoresystempre-operative,andtheresu
5、ltofthetestscorewasanaverageof60.46.TheroutineexaminationincludekneejointAP&LATandfull-lengthAPviewofthelowerextremityX-raybeforeandafteroperationandthesetofthemethodsoftheX-rayexaminationwasthesame.Allthepeople’sthefemoralangleandfemoral-tibialangleweremeas
6、uredaccordingtotheX-rayviewaftertheexaminationinthisstudygroup.Aftertheoperationtheinternalfixationwastakenoutinanaverageof12monthsandthestudygroupwasfollowed-upin24months.Alltheconditionofthepatientswasrecordedinthe24months.ResultWefollowedallthepeopleinthi
7、sstudygroupinanaverageof24months.Thefollow-uptimewasanaverageof24months.Theresultshowedthatallthedeformitywaseffectivelycorrect,Allthebonewasverywellconnectedandallthekneejointfunctionwasobviouslyimproved.Theaffectedsideknee’sHSSscorewasanaverageof85.4aftert
8、heoperation.ConclusionThesupracondylardomeosteotomyoffemurcombinedwitharthroscopyisasafe,scientificandeffectivestrategyinthetreatmentofthevalgusdeformityofknees.Figure25,Table5,Reference135Keywo
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