矩形金属垫块在伴有胫骨骨缺损全膝关节置换术中的应用

doi:10.6040/j.issn.1671-7554.0.2014.786

摘要/Abstract

摘要： 目的探讨矩形金属垫块在伴有胫骨骨缺损全膝关节置换术中的应用效果。方法选取2012年1月至2013年12月对7例(7膝)伴有胫骨平台骨缺损的膝关节应用矩形金属垫块处理骨缺损行初次全膝关节置换术,男2例2膝,女5例5膝,49～ 84岁,平均57岁。观察有无感染、下肢血栓形成等术后并发症,术后1年行X线检查判断下肢力线矫正情况及有无假体松动、移位、塌陷等,对比术前及术后1年膝关节HSS评分。结果术后随访1年,所有患者无感染、下肢血栓形成等并发症。患膝疼痛消失,下肢力线矫正满意,末次随访X线片未见假体松动、移位、塌陷等。术前HSS评分17～29分平均23分,术后68～95分平均81分。结论在初次全膝关节置换术中,应用矩形金属垫块处理胫骨平台骨缺损,手术效果良好,未增加并发症发生率。

关键词: 全膝关节置换术, 矩形, 胫骨, 骨缺损, 金属垫块

Abstract: Objective To investigate the application of metal block in total knee arthroplasty with bone defect of tibia. Methods Data of 7 cases undergoing primary total knee arthroplasty with tibial plateau bone defect during Jan. 2012 and Dec. 2013 were retrospectively reviewed. The patients included 2 males and 5 females, aged 49-84 years, average 57 years. Postoperative complications in lower limbs were observed. After the follow-up of 1 year, the axial alignment of the lower extremity correction, presence of prosthesis loosening, displacement, collapse and so on were examined with X-ray and compared with preoperative and postoperative knee joint HSS scores. Results During the follow-up of 1 year, no complications such as infection or deep thrombosis in the lower limbs occurred. Knee pain disappeared, and axial alignment of the lower extremity was well corrected. The final X-ray examination showed no prosthesis loosening, displacement, collapse and so on. Preoperative HSS scored 17 to 29, average 23. Postoperative HSS scored 68 to 95, average 81. Conclusion Use of metal block to deal with tibial plateau bone defect for primary total knee arthroplasty can achieve excellent results without increasing complications.

Key words: Rectangular, Metal block, Bone defect, Total knee arthroplasty, Tibial

中图分类号:

R687

黄传旺, Salim Jeddo, 张元凯, 李德强, 刘培来, 李明. 矩形金属垫块在伴有胫骨骨缺损全膝关节置换术中的应用[J]. 山东大学学报（医学版）, 2015, 53(6): 90-93.

HUANG Chuanwang, Salim Jeddo, ZHANG Yuankai, LI Deqiang, LIU Peilai, LI Ming. Use of metal block in total knee arthroplasty with tibial bone defect[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(6): 90-93.

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