| 国产TC-Dynamic(后稳定型)膝关节假体置换的临床应用 |
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投稿时间：2009-04-07
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| 作者 | Author | 单位 | Address | E-Mail |
| 徐志宏 |
XU Zhi-hong |
南京大学附属鼓楼医院骨科关节疾病诊治中心,江苏 南京 210008 |
The Center of Diagnosis and Treatment for Joint Disease,Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
jiangqing112@hotmail.com |
| 陈东阳 |
CHEN Dong-yang |
南京大学附属鼓楼医院骨科关节疾病诊治中心,江苏 南京 210008 |
The Center of Diagnosis and Treatment for Joint Disease,Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 邱旭升 |
QIU Xu-sheng |
南京大学附属鼓楼医院骨科关节疾病诊治中心,江苏 南京 210008 |
The Center of Diagnosis and Treatment for Joint Disease,Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 蒋青 |
JIANG Qing |
南京大学附属鼓楼医院骨科关节疾病诊治中心,江苏 南京 210008 |
The Center of Diagnosis and Treatment for Joint Disease,Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 袁涛 |
YUAN Tao |
南京大学附属鼓楼医院骨科关节疾病诊治中心,江苏 南京 210008 |
The Center of Diagnosis and Treatment for Joint Disease,Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 翁文杰 |
WENG Wen-jie |
南京大学附属鼓楼医院骨科关节疾病诊治中心,江苏 南京 210008 |
The Center of Diagnosis and Treatment for Joint Disease,Affiliated Drum Tower Hospital,Medical College of Nanjing University,Nanjing 210008,Jiangsu,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第6期，第410-412页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：膝关节置换在国内已广泛开展，发展合适国人自身的假体意义重大，本研究介绍了国产TC-Dynamic(后稳定型)膝关节置换系统在临床的应用体会。
方法：自2003年1月至2004年12月，对51例患者行TC-Dynamic膝关节置换。男19例，女32例；年龄71～84岁，平均(76.4±4.1)岁；骨性关节炎37例，类风湿性关节炎14例；病程5～40年，症状主要为疼痛及活动受限。术前术后行HSS评分和X线检查。
结果：随访48～61个月，术后3个月随访所有患者，HSS评分平均(86.1±7.7)分(63～95分);共32例患者获48个月随访，HSS评分平均(83.5±8.1)分(60～95分).负重位X线检查力线测量结果术前平均膝内翻(21.0±5.8)°(9°～30°),术后下肢力线基本正常。无感染、假体松动或髌骨脱位等并发症。
结论：作为根据国人膝关节解剖特点设计的后稳定型膝关节假体置换术中期疗效满意，长期疗效有待观察。 |
| 【关键词】关节成形术,置换,膝 假体设计 骨关节炎,膝 关节炎,类风湿 随访研究 |
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| Preliminary clinical outcome of domestic posterior-stabilized total knee arthroplasty |
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ABSTRACT
Objective: Total knee arthroplasty (TKA) has been widely used in China. More and more attentions are paid to the development of knee prosthesis that fit for the anatomy of Chinese knee. This study is to summarize the surgical techniques and clinical outcome of domestic posterior-stabilized total knee arthroplasty.
Methods: Fifty-one patients including 19 males and 32 females underwent TKA by using TC-Dynamic from Jan. 2003 to Dec. 2004 were reviewed. The average age at the time of operation was(76.4±4.1)years(range,71 to 84 years). Thirty-seven patients suffered from osteoarthritis and 14 patients were rheumatism arthritis. The courses of the disease ranged from 5 to 40 years and the symptoms were pain and limitation of motion. The knee rating score system(HSS) as well as X-rays of the lower extremity was used to evaluate the clinical results.
Results: All patients were followed up at the 3 rd month after TKA and the duration of follow-up of 32 patients ranged from 48 to 61 months. The HSS scores before TKA was(53.3±6.7) (40 to 59)points. At the 3 rd month and 48th month of follow-up,the HSS scores were(86.1±7.7)(63 to 95) and(83.5±8.1)(60 to 95) points respectively. The stress X-rays showed preoperative varus deformities from 9 degrees to 30 degrees with the average of(21.0±5.8)degrees and normal alignment of the lower extremities postoperative. There were no complications related to TC-Dynamic prosthesis and other complications such as infection,prosthetic loosening and dislocation of patella.
Conclusion: There is a good mid-term clinical result of TC-Dynamic knee system,which is designed according to anatomical characteristic of Chinese knee joint. More attention should be paid to this knee system about the long term follow-up. |
| KEY WORDS Arthroplasty,replacement,knee Prosthesis design Osteoarthritis,knee Arthritis, rheumatoid Follow-up studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 徐志宏,陈东阳,邱旭升,蒋青,袁涛,翁文杰.国产TC-Dynamic(后稳定型)膝关节假体置换的临床应用[J].中国骨伤,2009,22(6):410~412 |
| 英文格式: | XU Zhi-hong,CHEN Dong-yang,QIU Xu-sheng,JIANG Qing,YUAN Tao,WENG Wen-jie.Preliminary clinical outcome of domestic posterior-stabilized total knee arthroplasty[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(6):410~412 |
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