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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 493 -497. doi: 10.3877/cma.j.issn.1674-134X.2019.04.018

所属专题： 文献；

临床经验

内轴膝置换治疗膝骨关节炎的满意度分析及初步疗效
陈雪燕1, 李振兴1, 李莉2, 陈成旺2, 薛恩兴2, 郑文娴1, 张宇1, 樊沛1,†()   
  1. 1. 325027　温州医科大学附属第二医院、育英儿童医院骨科；325027　温州，浙江省骨科学重点实验室
    2. 325027　温州医科大学附属第二医院、育英儿童医院麻醉科；325027　温州，浙江省麻醉学重点实验室
  • 收稿日期:2018-11-02 出版日期:2019-08-01
  • 通信作者: 樊沛
  • 基金资助:
    温州市科技局项目(Y20180029)

Satisfaction and short-term clinical outcome of total knee arthroplsty using medial pivot knee for knee osteoarthritis

Xueyani Chen1, Zhenxing Li1, Li Li2, Chengwang Chen2, Enxin Xue2, Wenxian Zheng1, Yu Zhang1, Pei Fan1,†()   

  1. 1. Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325027, China; Zhejiang Provincial Key Laboratory of Orthopaedics, Wenzhou 325027, Chin
    2. Department of Anesthesia, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325027, China; Zhejiang Provincial Key Laboratory of Anesthesia, Wenzhou 325027, China.
  • Received:2018-11-02 Published:2019-08-01
  • Corresponding author: Pei Fan
  • About author:
    Corresponding author: Fan Pei, Email:
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引用本文：

陈雪燕, 李振兴, 李莉, 陈成旺, 薛恩兴, 郑文娴, 张宇, 樊沛. 内轴膝置换治疗膝骨关节炎的满意度分析及初步疗效[J]. 中华关节外科杂志(电子版), 2019, 13(04): 493-497.

Xueyani Chen, Zhenxing Li, Li Li, Chengwang Chen, Enxin Xue, Wenxian Zheng, Yu Zhang, Pei Fan. Satisfaction and short-term clinical outcome of total knee arthroplsty using medial pivot knee for knee osteoarthritis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2019, 13(04): 493-497.

分析内轴膝假体置换术后疗效，评估患者满意度。

方法

对温州医科大学附属第二医院关节外科单一术者2016年8月至2017年10月期间使用内轴膝假体进行膝关节置换的患者进行至少1年随访，对患者的满意度及不满意原因进行调查和分析，并调查患者膝关节疼痛程度及关节活动度。

结果

52例患者纳入此研究，手术时平均年龄(73±6)岁，随访时间(13.9±1.4)个月。内轴膝假体总体满意度达到90.38%，其中不满意的原因最主要是持续性膝关节疼痛，内轴膝假体置换后患者疼痛数字评分中位数M为0，四分位数间距为0，膝关节活动度为(93±12)°。

结论

内轴膝置换治疗终末期膝骨性关节炎疗效确切，患者满意度高，术后膝关节持续性疼痛仍然是患者不满意最主要的原因。

关键词: 关节成形术，置换，膝, 病人满意度, 假体和植入物
Objective

To investigate clinical outcome of medial pivot(MP) knee prosthesis, the satisfaction rate and the causes of the dissatisfaction.

Methods

A survey was used for collecting information from patients undergoing primary total knee arthroplasty (TKA) using MP prosthesis from August 2016 to October 2017. The minimum follow-up time was at least one year. The satisfaction and the causes of dissatisfaction were analyzed while the pain numeric rating scales(NRS) and range of motion were investigated.

Results

Fifty-two patients performed TKA using this prosthesis were enrolled in this study, the average age was (73±6) years and the average follow-up time was (13.9±1.4)months. The satisfaction rate of MP prosthesis reached 90.38%. The most common cause of dissatisfaction was persistent pain around knee. The median of NRS score was 0, the inter-quartile range was 0. The range of motion was(93±12)°.

Conclusion

TKA using MP prosthesis achieves clinical good results and has a high satisfaction rate, yet persistent pain around knee after TKA is still the most common reason for dissatisfaction.

Key words: Arthroplasty, replacement, knee, Patient satisfaction, Prostheses and implants
图1 上海微创公司的内轴膝垫片。图中可见内轴膝垫片为内侧为轴，前缘垫高的设计，图A为面观；图B为内侧面观
图2 右侧内轴膝关节置换手术前后X线片。膝关节无明显疼痛，膝关节活动度0°～110°。图A为右膝术前正侧位片，示右侧膝关节骨关节炎；图B为双下肢术前全长片；图C为右膝术后正侧位片，示膝关节活动良好；图D为双下肢术后全长片
图3 内轴膝置换术后NRS评分(疼痛数字评分)情况
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