Clinical efficacy of total knee arthroplasty in treatment of end-stage Kashin-Beck disease in adults
NIE Zhijun1 YUAN Qiling2 LING Ming1 CHANG Yanhai1 GUO Xiong3
1.Department of Orthopedics, Shaanxi Provincial People′s Hospital the Third Affiliated Hospital of Xi′an Jiaotong University, Shaanxi Province, Xi′an 710068, China; 2.Department of Orthopedics, the First Affiliated Hospital of Xi′an Jiaotong University, Shaanxi Province, Xi′an 710061, China;
3.School of Public Health, Xi′an Jiaotong University Health Science Center, Shaanxi Province, Xi′an 710061, China
Abstract：Objective To observe the clinical efficacy after total knee arthroplasty (TKA) for the end-stage Kashin-Beck disease (KBD) in adults. Methods From May 2014 to December 2016, in Shaanxi Provincial People's Hospital, 24 patients (29 knees) with the end-stage KBD and treated with total knee arthrophasty (TKA) at first time were selected. Appropriate prosthesis and surgical approach were selected according to patients′ condition. The changes of Visual analogue scale (VAS) score, Knee society score (KSS), knee range of motion (ROM), femorotibial angle (FTA) and postoperative complications were observed before and after TKA, the patients were followed up for 1-15 months. Results In each period after surgery, the VAS score and FTA decreased significantly compared with that before surgery, KSS and ROM increased significantly compared with those before surgery, the differences were statistically significant (P ＜ 0.05). One case occured muscular venous thrombosis, and was cured by anticoagulation therapy. No serious complications were noted, such as pulmonary embolism, deep vein thrombosis, periprosthetic osteolysis, prosthetic sinking or loosening. Conclusion TKA is an effective treatment for end-stage KBD of the knee joint. It can significantly reduce pain of knee joint, and obtain satisfactory activity range and function of the knee joint.
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2018, Vol. 15 
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