[1]隆晓涛.老年膝关节退行性骨关节炎的关节置换手术时机选择和疗效[J].陆军军医大学学报(原第三军医大学学报),2012,34(24):2522-2525.
 Long Xiaotao.Timing and efficiency for selective joint replacement surgery for senile knee osteoarthritis[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(24):2522-2525.
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老年膝关节退行性骨关节炎的关节置换手术时机选择和疗效(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
34卷
期数:
2012年第24期
页码:
2522-2525
栏目:
论著
出版日期:
2012-12-30

文章信息/Info

Title:
Timing and efficiency for selective joint replacement surgery for senile knee osteoarthritis
作者:
隆晓涛
重庆市中山医院关节外科
Author(s):
Long Xiaotao
Department of Joint Surgery, Zhongshan Hospital, Chongqing, 400013, China
关键词:
骨关节炎关节置换术老年
Keywords:
osteoarthritis joint replacement elder
分类号:
R615;R684.3;R687.4
文献标志码:
A
摘要:
目的      探讨不同年龄阶段老年骨关节炎患者关节置换术后恢复情况。      方法      收集内科治疗无效,疼痛明显的老年晚期骨关节炎患者102例,平均年龄75岁,根据年龄分为3组,A组51例:60~70岁,B组33例:71~75岁,C组18例:76~80岁。在术前及膝关节置换术后6周、6个月、12个月对患者进行功能和症状评价。      结果      A组患者术前平均骨关节炎指数评分(WOMAC)为96.2分,B组为96.7分,C组为95.7分。术后A组患者的WOMAC评分平均减少了24分,B组减少了37分,C组减少了13分,3组患者术后WOMAC评分有明显差别。B组患者改善程度最大,C组患者改善最差。SF-12评分、ADL评分显示了同样的差别。      结论      71~75岁进行人工全膝关节置换的患者膝关节功能的提高程度优于其他组患者,是最合适的手术时机。
Abstract:
Objective      To investigate the clinical results and complications of total knee arthroplasty (TKA) in senile patients at different ages.       Methods      A prospective cohort study was carried out on decision making and clinical outcomes for 102 patients (mean age, 75 years) with severe OA of the knee with symptoms inadequately controlled with conservative treatments. The patients were divided into 3 groups according to their age, including group A (60 to 70 years, n=51), group B (70 to 75 years, n=33), and group C (>75 years, n=18). Osteoarthritis symptoms and functional status were assessed at baseline and at 12 months. Postoperative symptoms and function were assessed in 6 weeks, 6 months, and 12 months after surgery.       Results      The mean Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score was 96 in group A, 96.7 in group B and 95.7 in group C based on a 100-point scale. At 12 months, WOMAC scores was improved by 24 points in the group A, 37 in group B, and 13 in group C (P<0.01). The improvement was significantly different among the 3 groups, with that of group B most significant. SF-12 score and ADL score showed similar results.       Conclusion      For osteoarthritis patients with age from 70 to 75, joint replacement is good in functional recovery and improvement. So age ranging from 70 to 75 is a good time for this surgery.

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更新日期/Last Update: 2012-12-19