[1]邹吉锋,万锋格,赵兰兰,等. 全膝关节置换术结合康复功能训练对膝内翻合并屈曲畸形患者的修复效果研究[J].中国美容医学,2019,(04):131-134.
 ZOU Ji-feng,WAN Feng-ge,ZHAO Lan-lan,et al. Effect of Total Knee Arthroplasty Combined with Rehabilitation Function Training onthe Repair of Patients with Unilateral Knee Varus and Flexion Deformity[J].Medical Aesthetics and Beauty,2019,(04):131-134.
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 全膝关节置换术结合康复功能训练对膝内翻合并屈曲畸形患者的修复效果研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年04期
页码:
131-134
栏目:
出版日期:
2019-04-15

文章信息/Info

Title:
 Effect of Total Knee Arthroplasty Combined with Rehabilitation Function Training on
the Repair of Patients with Unilateral Knee Varus and Flexion Deformity
文章编号:
1008-6455(2019)04-0131-04
作者:
邹吉锋万锋格赵兰兰权松涛
Author(s):
ZOU Ji-fengWAN Feng-geZHAO Lan-lanQUAN Song-tao
关键词:
 [关键词]全膝关节置换术康复训练单侧膝内翻屈曲畸形功能恢复关节活动度
Keywords:
 Key words: total knee arthroplasty rehabilitation training unilateral knee varus flexion deformity functional recovery jointrange of motion
分类号:
R622
文献标志码:
A
摘要:

[摘要]目的:研究全膝关节置换术结合康复功能训练对单侧膝内翻合并屈曲畸形患者的修复效果。方法:选取笔者医院于
2017年10月-2018年10月收治的60例单侧膝内翻合并屈曲畸形患者进行研究,按照随机数字表法,随机分为实验组和对照
组,每组30例。对照组应用常规手术治疗及护理,实验组则应用全膝关节置换术结合康复功能训练。观察并比较两组患者
临床治疗效果、美国特种外科医院膝关节评分 (Hospital for special surgery knee score,HSS)情况、膝关节功能恢
复情况、患者满意度以及并发症发生情况。结果:治疗后,实验组优良率达到83.33%高于对照组的60.00%,差异有统计学
意义(P <0.05)。术后1个月、3个月、6个月,两组患者膝关节HSS评分较出院时均明显升高,且实验组升高水平较对照组
更为明显(P <0.05)。两组患者屈曲挛缩度、膝关节股胫角以及膝关节屈伸活动度均较治疗前有明显改善,且实验组较对
照组改善更为显著(P <0.05)。实验组患者总满意度达90.00%高于对照组的63.33%,差异有统计学意义(P <0.05)。两
组患者均发生腓总神经麻痹、深部感染等并发症,实验组并发症发生率为6.67%显著低于对照组的26.67%,差异有统计学意
义(P <0.05)。结论:全膝关节置换术结合康复功能训练治疗单侧膝内翻合并屈曲畸形临床疗效和修复效果均显著,患者
术后膝关节HSS评分、屈曲挛缩度、膝关节股胫角、膝关节屈伸活动度均显著改善,可有效提高患者满意度且并发症较少,
值得在临床推广。
Abstract:
Abstract: Objective To study the effect of total knee arthroplasty combined with rehabilitation function training on the repair
of patients with unilateral knee varus and flexion deformity. Methods 60 patients with unilateral knee varus and flexion
deformity admitted to our hospital from October 2017 to October 2018 were enrolled in the study. They were randomly divided
into the test group and the control group, 30 cases in each group. The control group was treated with conventional surgery
and nursing, while the test group was treated with total knee arthroplasty combined with rehabilitation function training. The
clinical treatment effect, knee HSS score, knee function recovery, patient satisfaction and complications were observed and
compared between the two groups. Results After treatment, the excellent rate of the test group reached 83.33%, while the
control group was only 60.00%, the difference was statistically significant (P <0.05). At 1 month, 3 months, and 6 months
after operation, the HSS score of the two groups were significantly higher than those at the time of discharge, and the
elevated level of the test group was more obvious than that of the control group (P <0.05). The flexion contracture, knee
femoral angle, knee flexion and extension were significantly improved in both groups compared with before treatment,
and the test group was more significant than the control group (P <0.05). The total satisfaction rate of the test group was
90.00%, which was higher than that of the control group(63.33%, P <0.05). Complications of common peroneal nerve palsy
and deep infection occurred in both groups, but the incidence of complications in the test group (6.67%) was significantly
lower than that in the control group (26.67%, P <0.05). Conclusion Total knee arthroplasty combined with rehabilitation
functional training for the treatment of unilateral knee varus with flexion deformity has significant clinical efficacy and repair
effect, patients with knee joint HSS score, flexion contracture, knee femoral angle, knee flexion and extension activity, patient
satisfaction were significantly improved after surgery, and has fewer complications, it is worth promoting in the clinic.

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更新日期/Last Update: 2019-05-05