中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2016, Vol. 45 ›› Issue (8): 684–687.doi: 10.12007/j.issn.0258-4646.2016.08.003

• 论著 • 上一篇    下一篇

膝关节置换术中内侧副韧带断裂的治疗及随访研究

张杭州 1,王岩峰 1,梁庆威 1,尤福利 1,刘向南 2,闫增龙 2   

  1. 中国医科大学 1 附属第一医院运动医学科与关节外科,骨科,沈阳 110001;2 人民医院骨外三科,沈阳 110016
  • 收稿日期:2015-12-09 出版日期:2016-08-20 发布日期:2016-07-23
  • 作者简介:张杭州(1984 -),男,主治医师,博士 .
  • 基金资助:
    国家自然科学基金(81501857)

Treatment of Medial Collateral Ligament during Total Knee Arthroplasty:a Short Term Follow-up Study

ZHANG Hangzhou1,WANG Yanfeng1,LIANG Qingwei1,YOU Fuli1,LIU Xiangnan2,YAN Zenglong2   

  1. 1 Department of Sports Medicine and Joint Surgery/Orthopaedics,The First Hospital,China Medical University,Shenyang 110001,China;2 Department of Orthopaedics,The People’s Hospital of Liaoning Province,Shenyang 110016,China
  • Received:2015-12-09 Online:2016-08-20 Published:2016-07-23

摘要: 目的 比较膝关节置换术中内侧副韧带(MCL)损伤后采用限制性关节假体或非限制性关节假体患者的术后膝关节功能。方法 回顾性研究 2005 年 1 月至 2010 年 12 月期间膝关节置换术中发生医源性 MCL 损伤病例 19 例。术中对 MCL 损伤均予以缝合修补。术中采用更换限制性膝关节假体者 8 例(LCCK 组),采用术前计划的假体类型不变者 11 例(LPS 组)。采用膝关节功能评分(KSS)评估术后膝关节功能,比较 2 组有无差异。全部患者均得到随访,术后随访时间 5 年。结果 在末次随访中(60 个月),LCCK 组膝关节 KSS 评分为 87.4 分,而 LPS 组为 93.3 分。11 例采用非限制性膝关节假体的患者没有因为膝关节不稳定而翻修;2 例采用限制性假体的患者因为关节松动而进行了翻修手术。结论 在膝关节置换术中发生 MCL 损伤往往需要修复 MCL,膝关节假体类型可能不需要更换为限制性假体。

关键词: 膝关节置换, 内侧副韧带损伤, 限制性膝关节假体

Abstract: Objective To compare the knee function in patients with intraoperative medial collateral ligament(MCL)injury treated with or without increased prosthetic constraint. Methods The records of 19 cases who encountered with iatrogenic injury to the MCL during total knee arthroplasty(TKA)between January 2005 and December 2010 were retrospectively reviewed. Eight patients(LCCK group)were treated with increased prosthetic constraint;the remaining 11 patients(LPS group)received increased prosthetic constraint between January 2005 and December 2010 served as controls. The MCL was repaired after TKA. The complications were observed after operation. Knee society scores(KSS)subjective knee scores were used to assess the knee function. No patient was lost for follow-up. The mean follow-up was 5 years. Results Until last follow-up(60 months),The KSS subjective score was 87.4 for LCCK group compared with 93.3 for the LPS group. No revisions for knee instability were performed in the 11 patients treated with non-prosthetic constraint;however,2 patients treated with increased prosthetic constraint were revised due to joint loosening. Conclusion The MCL tear should be repaired during TKA;the type of the prosthesis should not be increased when MCL injury is recognized during TKA.

Key words: total knee arthroplasty, medial collateral ligamnet injury, legacy constrained condylar knee

中图分类号: 

  • R684.2
[1] 杨礼庆,张敏健,刘九龙,孙跃峰,张朝朋,侯少辉. 膝关节骨关节炎全膝关节置换术后皮温变化与炎症反应的观察[J]. 中国医科大学学报, 2017, 46(7): 664-666.
[2] 陈胜武,赵恒武,王硕. 人工全膝关节置换术后应用超声透入依托芬那酯凝胶镇痛的疗效[J]. 中国医科大学学报, 2017, 46(11): 1028-1031.
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