壤塘地区全膝关节置换术治疗大骨节病性膝骨关节炎的疗效分析

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Abstract Objective To investigate the short-term clinical effect of total knee arthroplasty in the treatment of Kashin-Beck disease (KBD) of the knee in Ramtang area.Methods A retrospective analysis was performed on 88 patients with KBD (32 males and 56 females) aged from 34 to 67 years, with an average age of (53.57±10.40) years, who were admitted to the Department of Orthopedics of Rangtang County People’s Hospital of Sichuan Province from January 2017 to September 2019. There were 35 cases of stage I and 53 cases of stage II. All the patients with KBD were treated with total knee arthroplasty for the first time. Before operation and at 1, 3, 6, 12 and 36 months after the operation, the pain severity of the knee joint were evaluated by visual analogue scale (VAS) and the knee society knee score (KSS). The hospital for special surgery knee score (HSS score) systematically evaluated the knee function, the SF-36 score evaluated the quality of life, and the ROM of the knee joint was measured. Before treatment and at the last follow-up, the full-length X-ray films of both lower limbs were taken to measure the hip knee ankle angle and tibiofemoral angle to assess the lower limb force line.Results The patients were followed up for 36 to 54 months, with an average of (39.85±6.89) months. VAS pain score, HSS clinical score, KSS function score, SF-36 score, physiological function, physical pain, vitality, social function, emotional function, and mental health score were improved. The lower limb force line hip knee ankle angle (HKA) and ROM were improved (P<0.05).Conclusions The patients with KBD in stage Ⅰ and stage Ⅱ at high altitude can correct the lower limb force line, relieve the knee joint pain and improve the joint function after the first artificial joint replacement, which is worthy of clinical promotion.

Key words： plateau area total knee arthroplasty Kaschin-Beck disease

Received: 05 December 2022

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	Articles by authors
	PENG Wei
	XIE Chongqing
	XU Hongwei
	YUAN Shengjun
	SUN Jiapei
	HUANG Xunwu

Cite this article:

PENG Wei,XIE Chongqing,XU Hongwei等. Effect of total knee arthroplasty on KBD knee osteoarthritis in Rangtang area[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(5): 393-397.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I5/393

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