全膝表面置换术治疗晚期痛风性膝关节炎临床疗效

1、全膝表面置换术治疗晚期痛风性膝关节炎临床疗效 10-05-04 14:45:00 作者：张小兆，杨杰山编辑：studa20【摘要】 目的 分析人工全膝表面置换治疗晚期痛风性膝关节炎的临床效果。方法 选择2001年3月2007年7月青海大学附属医院骨科关节组收治的9例10膝晚期痛风性膝关节炎病例,均行全膝关节表面置换术,其中单膝关节置换8例,双膝关节置换1例,采用后方稳定型假体，随访资料完整。结果所有患者均获得1年以上的随访。采用HSS评分系统进行分析,优6膝,良2膝,可2膝。对患者手术前和随访时HSS评分进行t检验有显著性差异（P0.05）。患者术后在疼痛、功能方面都有明显改善。结论全膝关节表

2、面置换术对治疗晚期痛风性膝关节炎效果满意。手术前后控制血尿酸、术中彻底清除尿酸盐结晶、精确的截骨操作、正确的软组织松解及术后指导康复是手术治疗成功的关键。 【关键词】 全膝表面置换； 痛风性膝关节炎； 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分为优, 7084分为良, 6069分为可, 60分以下为差。膝关节评分由术前（40.5010.70）分(1651分)提高到术后（86.208.42）分(6796分) ,其中优6膝,良2膝,可2膝，所有患者都未发生感染、假体松动或骨溶解等远期不良的生物相容性反应。切口愈合均为/甲。10膝的活动度均90,平均膝关节活动度