在全膝关节整形术后的肢体长度变化对形形不影响临床得分,并且不受固定屈曲形的影响
Sung-Mok Oh1, Seong-Il Bin2, Jong-Min Kim2
1Department of Orthopedic surgery, Barun Hospital, 145, Yeouidaebang-ro, Yeongdeungpo-gu, Seoul, Korea.
Orthopaedics & traumatology, surgery & research : OTSR
|December 9, 2023
概括
在全膝关节整形术后,四肢长度的变化是常见的,并且与放射性对齐有关,但不固定曲变形或临床结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械工程 生物机械工程
背景情况:
- 肢体长度变化 (LLC) 在形形全膝关节整形术 (TKA) 中是显著的,可能导致下肢长度差异 (LLD) 和临床分数减少.
- 有限的研究存在于LLC in valgus TKA,特别是关于其与固定曲形 (FFD) 的关系.
研究的目的:
- 调查LLC对术后LLD的影响.
- 为了确定FFD的改进是否会影响LLC.
- 评估LLC对TKA后临床评分改善的影响.
主要方法:
- 对50名患者进行了回顾性队列研究,这些患者接受了骨关节炎的初级单边TKA治疗.
- 在手术前和手术后12个月进行放射 (HKA,LLC) 和临床 (FFD,HSS分数) 评估.
- 使用全身站立的AP射线图和门诊测量.
主要成果:
- 92%的患者经历了延长,平均LCL为18.85mm.
- 术后的LLD超过10mm发生在26%的病例中.
- LLC与HKA变化 (p=0.007) 和术后LLD (p=0.011) 相相关,但与FFD改善或HSS得分无关.
结论:
- 形形变形TKA后的LLC受HKA改善的影响,但不是FFD改善.
- 在这组患者中,LLC似乎没有影响临床结果 (HSS得分).
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