[不同年龄患者全膝关节置换术的临床结果及围手术期并发症]
[Clinical results and peri-operative complications of total knee arthroplasty for patients with different ages].
作者信息
Zhou Yi-Xin, Shao Hong-Yi, Tang Jing, Tang Qi-Heng
机构信息
Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Beijing 100035, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2009 Jun 1;47(11):833-6.
OBJECTIVE
To analyze the clinical results and complications of total knee arthroplasty (TKA) performed for patients with different ages.
METHODS
From January 2004 to March 2005,212 patients (300 knees) were followed up, all patients were divided into 6 groups according to the age. All the complications and knee society scores (KSS) were documented and retrieved for analysis.
RESULTS
KSS of all groups was significantly improved after TKA. The patients whose age was 70 years or older, and underwent bilateral TKA achieved the best improvement of knee function. The complication rate increased with the patients' age.
CONCLUSIONS
TKA predictably alleviates knee pain and restores knee function. Aging itself does not compromise clinical results of TKA. However perioperative complication rate is a little bit higher in aged patient group and simultaneously bilateral TKA patient group.
目的
分析不同年龄段患者行全膝关节置换术（TKA）的临床效果及并发症。
方法
2004年1月至2005年3月，对212例患者（300膝）进行随访，所有患者按年龄分为6组。记录并分析所有并发症及膝关节协会评分（KSS）。
结果
TKA术后所有组的KSS均显著改善。年龄70岁及以上且接受双侧TKA的患者膝关节功能改善最佳。并发症发生率随患者年龄增加而升高。
结论
TKA可预期地减轻膝关节疼痛并恢复膝关节功能。年龄本身并不影响TKA的临床效果。然而，老年患者组及同期双侧TKA患者组的围手术期并发症发生率略高。
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