全膝关节置换术中全聚乙烯胫骨单块构件的功能评估

Moinuddin Nadaf, Sharan S Patil, Raghavendra R Huchchannavar
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摘要

背景:在像印度这样的发展中国家,所有聚乙烯胫骨组件的成本效益是一个重大的福利,而不会损害功能结果。在这项研究中,我们试图评估全聚乙烯胫骨单块构件在全膝关节置换术中的功能结果。方法:对86例全聚乙烯胫骨单块假体全膝关节置换术患者进行研究。人口统计、手术和随访数据从患者病例表中收集,并在Performa中复制。患者被要求随访5年,并在门诊进行检查。结果:研究人群的平均年龄为62.8岁(50 - 72岁),平均BMI为27.6 kg/m2。在统计上,所有年龄组的运动范围都有显著的改善。男女患者的膝关节评分差异不显著。在BMI较低的患者中,膝关节评分的临床功能能力评估被观察到更高。结论:所有年龄段患者的活动范围和膝关节评分均有显著改善,强调全聚乙烯设计的全膝关节置换术是治疗骨关节炎的一种良好的手术,可以恢复接近正常的生活方式。
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Functional assessment of all polyethylene tibial monoblock component in total knee arthroplasty
Background: In a developing country like India the cost effectiveness of all polyethylene tibial components is a major boon, without compromising the functional outcome. In this study we have attempted to evaluate the functional outcome of all polyethylene tibial monoblock component in total knee arthroplasty. Methodology: The study was carried out on 86 patients who are operated for total knee arthroplasty with all polyethylene tibial monoblock component. Demographic, surgical and follow up data was collected from case sheets of patients and copied in Performa. The patients were called for five years follow up and examined in the outpatient department. Results: The mean age of study population was 62.8 years (range 50 – 72 years) with mean BMI of 27.6 kg/m2. Statistically significant improvement was seen in the range of movements in all the age groups. Both male and female patients had insignificant difference in knee scoring. Assessment of clinical functional abilities of knee scoring have observed to be higher in patients with lower BMI. Conclusion: Significant improvement in range of motion as well as knee score in all age range, emphasizes the fact that total knee arthroplasty with all polyethylene design in osteoarthritis is an excellent surgery to restore near normal life style.
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