摘要
目的:探讨后交叉韧带保留型全膝关节置换术(CR-TKA)对患者满意度及正常行走的身体稳定性影响。方法:随机选取18例膝骨关节炎患者,利用主观评分量表、Kwon 3D三维动作解析系统及Kistler三维测力台分别记录CR-TKA前后的OKS、WOMAC评分、正常行走的步态参数及身体稳定性参数,对CR-TKA的效果进行主、客观的量化评定。结果:与术前相比,CR-TKA后的OKS评分、WOMAC评分、压心前后、内外侧位移均显著下降(P<0.05),步长、步速、膝关节活动度均显著增加(P<0.05),步宽、质心前后、内外侧位移未见显著性差异(P>0.05)。结论:CR-TKA后患者满意度较高;CR-TKA有效增强患者正常行走的步态表现能力,改善关节活动表现,提高正常行走的身体稳定性。
Objective:To investigate the effect of total knee arthroplasty with posterior cruciate ligament preservation(CR-TKA)on patient satisfaction and physical stability of normal walking.Methods:18 patients with knee osteoarthritis were randomly selected.The subjective rating scale,Kwon 3D three-dimensional motion analysis system and Kistler three-dimensional force platform were used to record the OKS,WOMAC scores,gait parameters and body stability parameters before and after CR-TKA,and the effect of CR-TKA was evaluated subjectively and objectively.Results:Compared with before operation,the OKS score,WOMAC score,anterior-posterior and medial-lateral displacements of the pressure center after CR-TKA were significantly decreased(P<0.05),and the step length,walking speed and knee joint mobility were significantly increased(P<0.05).There was no significant difference in step width,centroid anterior-posterior and medial-lateral displacements(P>0.05).Conclusion:The satisfaction of patients after CR-TKA is higher;CR-TKA can effectively enhance the gait performance of patients with normal walking,improve joint activity performance,and improve the physical stability of normal walking.
作者
何瑞波
郭鹏
白少玄
王得顺
杜恩泽
HE Rui-bo;GUO Peng;BAI Shao-xuan;WANG De-shun;DU En-ze(Logistics University of People's Armed Police Force,Tianjin 300309;Armed Police Tianjin Corps Hospital,Tianjin 300163;Armed Police Jilin Corps,Jilin 133000)
出处
《按摩与康复医学》
2023年第6期23-25,28,共4页
Chinese Manipulation and Rehabilitation Medicine
