|
|
|
| Influence of different types of knee prostheses on limb function recovery after initial unilateral knee replacement |
| PU Chao1 ZHANG Shanshan2 BAI Yiguang1 LI Wei1▲ WU Qingxia1 WU Hui1 |
1.Department of Orthopaedics, the Second Clinical College of North Sichuan Medical College Nanchong Central Hospital, Sichuan Province, Nanchong 637000, China;
2.Neurology Department, the Second Clinical College of North Sichuan Medical College, Nanchong Central Hospital, Sichuan Province, Nanchong 637000, China |
|
|
|
Abstract Objective To compare the influence of different types of knee prostheses on limb function recovery after initial unilateral knee replacement. Methods Form January 2014 to June 2016, in Second Clinical College of North Sichuan Medical College, according to different knee prostheses, 350 patients underwent initial unilateral knee replacement in the were divided into group A (rotating platform, 180 cases) and group B (posterior stabilized platform, 170 cases). The American Knee Association (HSS) scores, the world Knee Society Association (KSS) scores, knee flexion (ROM) and static stability indexes were compared in the two groups before operation and after the operation 6 months. The incidence of complications in the two groups was recorded. Results After operation 6 months, HSS scores, KSS scores and ROM significantly increased, the horizontal offset of GCP to GCP and GCP trajectory significantly decreased, the differences were statistically significant (P < 0.05). 6 months after operation, GCP trajectory in group A was significantly shorter than group B, the differences were statistically significant (P < 0.05), but there was no significant difference in other indicators between two groups (P > 0.05). There was no significant difference in the incidence of complications between the two group (P > 0.05). Conclusion Both of rotating platform and posterior stabilized platform prostheses can significantly promote limb function recovery in patients undergoing initial unilateral knee replacement. The complications are similar but the static stability of the former is relatively better.
|
|
|
|
|
|
[1] 盛文辉，何方生，王春辉，等.Deluxe-ps膝关节假体在一期双膝关节置换过程中的应用[J].中国组织工程研究，2013，17（39）：6881-6886.
[2] 孙凤龙，章耀华，李强，等.Deluxe-PS型与PFC Sigma RP型假体在膝关节置换中的比较[J].中国组织工程研究，2016，20（17）：24419-24426.
[3] 谢贵杰，甘伟伟，何森荣，等.应用国产AK-JPX后稳定型膝关节假体置换术后早期临床疗效观察[J].安徽医药，2014，18（11）：2128-2129，2130.
[4] 贺明，白伦浩，李彬，等.高屈曲型膝关节假体置换术后疗效评价[J].医学临床研究，2012，29（5）：970-972.
[5] 夏长所，徐浩，丁昌荣，等.内轴型假体与后稳定型假体膝关节置换的5年随访效果对比[J].中华实验外科杂志，2017，34（9）：1603-1604.
[6] 杨光洲，黄振峰，付朝娟.两种平台假体在全膝关节置换术中的早期应用效果分析[J].中国中医骨伤科杂志，2017， 25（1）：55-57.
[7] 谢海清，高兴华，刘永轶，等.CR固定平台膝关节假体在初次全膝关节置换术中的应用[J].广东医学，2017，38（7）：1068-1070.
[8] Stoner K，Jerabek SA，Tow S，et al. Rotating-platform has no surface damage advantage over fixed-bearing TKA [J]. Clin Orthop Relat Res，2013，471（1）：76-85.
[9] Argenson JN，Parratte S，Ashour A，et al. The outcome of rotating-platform total knee arthroplasty with cement at a minimum of ten years of follow-up [J]. J Bone Joint Surg Am，2012，94（7）：638-644
[10] 郑润龙，黄迅悟.人工膝关节置换假体的选择[J].中国医疗设备，2015，30（10）：20-24.
[11] 刘志宏，张炅，何川，等.活动平台全膝关节假体和单髁膝关节假体置换术后的步态对比分析[J].中华关节外科杂志：电子版，2017，11（1）：17-22.
[12] 肖敏，张强.膝关节置换的适应证及假体选择[J].中国组织工程研究与临床康复，2011，15（17）：3200-3201.
[13] Aggarwal AK，Agrawal A. Mobile vs fixed-bearing total knee arthroplasty p-erformed by a single surgeon：a 4- to 6.5-year randomized，prospective，controlled，double-blinded study [J]. J Arthroplasty，2013，28（10）：1712-1716.
[14] 何方生，吴兵，盛文辉，等.不同股骨髁间截骨膝关节假体在膝关节置换术中的应用[J].中国矫形外科杂志，2014， 22（5）：408-414.
[15] 徐浩，王昌耀，张海宁，等.活动平台与固定平台假体行人工全膝关节置换术十年疗效的比较研究[J].中国修复重建外科杂志，2017，31（3）：271-277.
[16] Frye BM，Floyd MW，Pham DC，et al. Effect of femoral component desig-n onpatellofemoral crepitance and patella clunksyndrome after posterior-stabilize-d total knee arthroplasty [J]. J Arthroplasty，2012，27（6）：1166-1170.
[17] 何和与，钟达，汪龙，等.不同设计理念的膝关节假体对初次人工全膝关节置换术后早期疗效的影响[J].中国现代医学杂志，2016，26（12）：94-99.
[18] 程金生，李俊霞，周永刚，等.旋转平台与后稳定固定平台假体在人工膝关节置换术后的临床疗效[J].现代生物医学进展，2016，16（4）：748-750.
[19] 陆思伟，王洋，杨显春，等.全膝关节置换术中旋转平台型与固定平台型假体治疗膝关节病的疗效比较[J].临床骨科杂志，2017，20（4）：428-431.
[20] 米尔阿里木·木尔提扎，赵巍，王利，等.不同类型的膝关节假体对站立时静态稳定性的影响研究[J].实用骨科杂志，2015，21（1）：20-25. |
|
|
|
