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严重骨关节性形症患者的全膝关节置换后腿长度的差异

Mahmoud A Hafez¹, Mohamed Mosa², Ahmed Abdelaal³

¹The Orthopedic Department, Faculty of Medicine, October 6 University, Giza, Egypt. mhafez@msn.com.

International orthopaedics

|August 30, 2023

概括

全膝关节置换手术 (TKR) 显著增加腿部长度,改善患者的生活质量. 这项研究发现TKR后的身高增加,单边和双边手术之间没有显著差异.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程

背景情况:

全膝关节置换 (TKR) 旨在恢复功能并改善生活质量.
在TKR后增加腿部长度可能会提高患者的满意度和整体幸福感.

研究的目的:

在TKR后,记录严重双侧形患者腿部长度的变化.
评估TKR对腿长和身高增加的影响.

主要方法:

来自埃及社区关节塑造注册的61名患者 (101个膝盖) 的回顾性分析.
站立腿部X射线 (手术前和后) 来测量股骨和骨的长度.
一年后对腿长度变化进行了随访,并使用两样品t-test评估相关性.

主要成果:

在TKR后的一年,整体平均腿长增加5.4厘米 (SD=2.3) .
腿长度变化与形变形角度 (p<0.001) 和固定形变形 (p<0.001) 有显著的相关性.
在单边 (4.6厘米) 和双边 (5.6厘米) TKR组之间没有观察到身高增加的显著差异 (p=0.119).

结论:

在TKR后1年,腿的长度显著增加.
虽然TKR导致身高增加,但证据不支持双边TKR比单边TKR增加更多.

关键词:

腿的长度腿的长度骨关节炎是一种骨关节炎.整体膝关节置换整体膝关节置换

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