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RPF假体与HFB假体在人工膝关节置换术中的应用效果比较
作者:王云程  吴超  田松瑶  董宜斌 
单位:北京市大兴区中西医结合医院 骨科, 北京 100076
关键词:高性能固定平台 高屈曲旋转平台 假体 人工膝关节置换术 
分类号:R684
出版年·卷·期(页码):2018·46·第二期(131-135)
摘要:

目的:比较高屈曲旋转平台(RPF)假体与高性能固定平台(HFB)假体在人工膝关节置换术中的应用效果。方法:将本院80例(83膝)行人工膝关节置换术治疗的患者作为研究对象,分为H组(37例,38膝)给予HFB假体和R组(43例,45膝)给予RPF假体。比较两组术前、末次随访时HSS评分和膝关节活动度的情况。结果:两组均获随访,H组平均随访时间为(25.13±2.85)个月,R组平均随访时间为(24.89±2.74)个月。两组患者术前膝关节HSS评分的比较,并无明显差异(P>0.05);两组末次随访时的膝关节HSS评分均明显高于术前(均P<0.05),但两组末次随访膝关节HSS评分的比较,并无明显差异(P>0.05)。两组患者术前膝关节活动度的比较,并无明显差异(P>0.05);两组末次随访时的膝关节活动度均高于术前(均P<0.05),且R组明显高于H组,差异具有统计学意义(P<0.05)。结论:HFB与RPF假体在人工膝关节置换术中均可取得良好的治疗效果,但RPF假体对患者膝关节活动度的改善程度高于HFB假体,因此其应用价值更高。

Objective: To compare the application effects of high flexion rotating platform(RPF) prosthesis and high performance fixed platform(HFB) prosthesis in total knee replacement. Methods: A total of 80 patients(83 knees) undergoing total knee replacement were selected in this hospital. 106 patients were divided intogroup H(37 cases, 38 knees) giving HFB prosthesis and the group R(43 cases, 45 knees) receiving RPF prosthesis. The HSS scores and knee mobility were compared between the two groups before operation and at the last follow-up. Results: The two groups were followed up, with the average follow-up time in the group H for(25.13±2.85) months, and the average follow-up time in the group R of(24.89±2.74) months. Knee HSS scores before operation showed no significant difference between the two groups(P>0.05); at the end of the follow-up, knee HSS scores in the two groups were significantly higher than those before operation(both P<0.05), but there was no significant difference between the two groups at the last follow-up(P>0.05). There was no significant difference in knee mobility before operation between the two groups(P>0.05); the knee mobility of the two groups at the last follow-up were higher than those before operation(both P<0.05), and the knee mobility in the group R was significantly higher than that in the group H, which showed that the difference was statistically significant(P<0.05). Conclusion: HFB and RPF prosthesis both can achieve good results in total knee arthroplasty, but RPF prosthesis isbetter than the HFB prosthesis, in improving the knee mobility, so it has a higher value.

参考文献:

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