全膝关节置换术中髌骨置换的临床研究.pdf

34 ● 临床研究● 《中国医学前沿杂志 （电子版）》2012年第4卷第11期 全膝关节置换术中髌骨置换的临床研究 1 1 1 1 2 鲍亮 ，高智慧 ，施小强 ，房晓敏 ，金群华 （1.宁夏医科大学 研究生学院，银川 750004；2.宁夏医科 大学附属医院 骨科，银川 750004） 【摘要】　 目的　研究髌骨置换对全膝关节置换术疗效的影响。 方法　20 10年9月至20 10年11月在宁 夏医科大学总医院骨科行全膝关节置换术的膝关节骨性关节炎的患者，共69例，随机分为两组即髌骨 置换组和非置换组，置换组35例，非置换组34例。术后随访6周、3个月、6个月、12个月，比较两组 之间在knee score评分、knee function score评分、髌骨评分、术后膝前痛发生率、影像学表现是否有统 计学差异。结果　两组在术后随访时knee score评分之间无明显统计学差异。两组在术后随访6个月、 P 12个月knee function score评分有明显统计学差异， ＜0.05 。在12个月髌骨评分置换组高于非置换组， P P ＜0.05 。置换组较非置换组术后膝前痛发生率明显降低， ＜0.05 。置换组与非置换组术后平均股 P 胫角、髌韧带比值、髌骨倾斜角无明显差异， ＞0.05 。结论　全膝关节置换术行髌骨置换可以改善 knee function score评分、髌骨评分及降低术后膝前痛的发生率。 【关键词】　全膝关节置换术，髌骨；KSS评分；髌骨评分；随机对照试验 Clinical study of patellar replacement in total knee arthroplasty 1 1 1 1 2 BAO Liang , GAO Zhi-hui , SHI Xiao-qiang , FANG Xiao-min , JIN Qun-hua 1.Ningxia Medical University Postgraduate Education College, Yinchuan 750004, China; 2.Department of Orthopedic, the Affi liated Hospital Ningxia Medical University, Yinchuan 750004, China. Corresponding author: JIN Qun-hua, Email: jinqunhua@ Abstract Objective To evaluate the infl uence of patellar resurfacing on total knee arthroplasty. Methods 【 】 From September 2010 to November 2010, 69 patients who underwent TKA in Orthopedic Department, Affi liated Hospital Ningxia Medical University were covered in this study, they were randomly assigned to one of two groups: resurfacing of the patellar, 35 patients; retention of the patellar, 34 patients. They were followed for six weeks, three months, six months, twelve months. Evaluation was performed with use of the knee score, knee function score, patellar score system, incidence of postoperative anterior kn