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ID:31516163
大小:799.50 KB
页数:28页
时间:2019-01-12
《旋转平台假体膝关节置换的早期疗效》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、福建医科大学2010级硕士学位论文TheEarlyResultofRotating-PlatformTotalKneeArthroplastyAbstractObjective:ToinvestigatetheearlyclinicalofRotating-Platformtotalkneesysteminthetotalkneearthroplasty,Andwetrytofindtheresultindifferentagegroupsbythisapproach.Methods:The38patients(45knees)whoacceptedpri
2、marytotalkneearthroplasty(TKA)withRotating-PlatformtotalkneesystembetweenJune2008andJune2012werefollowed-up.Thepatientsinclude10malesand28females,agedfrom21to81yearsold,withtheaveragebeing63.The38patientsweredividedintotwogroups:thefirstgroupsconsistedof14patientsagedlessthan60yea
3、rs,andtheotherof24patientsagedolderthan60years.ClinicalevaluationofarthroplastyhasbeenmadebyreferringtothescoringsystemsofAmericanHospitalforSpecialSurgery(HSS).ComparethescoresofkneeHSS,painandfunction,rangeofmotion(ROM)beforeandafterthearthroplasty.RadiographicEvaluationofarthro
4、plastyhasbeenmadeonthefemoraltibialangles(FTA),Observedthelimbalignment,positionoftheprosthesis,radiationthroughthelightaroundfemoralandtibialcomponentsinordertofindsignsofprosthesisloosening.Patientsatisfactionrateandthecomplicationswereevaluated.ThedatawereanalyzedwithSPSS19.0so
5、ftware.Results:The38cases(45knees)werefollowedupforanaverageof29months(ranged,8~54months).Allincisionshealedatone-stageandnoonecaseofdeepveinthrombosis,dislocationandothercomplications.Oneinfectionwascuredbytakingsomerelativetreatment.Noonecaseofflexiondeformitywasoccurred.Patient
6、s'satisfactoryratewas94.7%.1.ClinicalEvaluation:ThescoresofHSS,painandfunctionincreasedrespectivelyfrom(48.86±12.16)points,(13.42±5.58)pointsand(9.93±5.14)pointspreoperativelyto(86.89±9.07)points,(25.22±4.26)pointsand(19.47±2.85)points(P<0.05)atthefinalfollowed-up.Theexcellentandg
7、oodrateofkneeHSSscoreswas95.6%.Therangeofmotion(ROM)ofthekneeimprovedfrom(94.73±23.11)ºto(121.89±15.82)º(P<0.05).Comparingmiddle-agedgroupswithold-agedgroups,therewere2福建医科大学2010级硕士学位论文differencesinthepreoperativeandpostoperativeHSS,functionscoreandtheROM(P<0.05),andthepostoperati
8、vepainscorewerenosignificantdiffe
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