CR假体与PS假体治疗膝骨性关节炎的效果比较

doi:10.3969/j.issn.1006-5725.2024.09.012

Abstract

Abstract:

Objective To compare the effect of posterior cruciate ligament retaining （CR） and posterior cruciate substituting （PS） prosthesis in knee arthroplasty. Methods 64 patients with knee osteoarthritis were admitted to our department from June 2021 to June 2022 and whom met the selection criteria were randomly selected and divided into observation group and control group （n = 32）. CR prosthesis was used in the observation group， and PS prosthesis was used in the control group. Operation time， postoperative drainage volume， difference of hemoglobin （HGB） before and after operation， postoperative hospital stay， postoperative range of motion at 7 d， 14 d， 45 d， 3 months and 1 year were recorded. ROM， visual analog pain Scale （VAS）， Hospital for special surgery （HSS） score， and maximum forward and backward displacement of knee joint and the regular radiographs were also recorded， too. Results The two groups were similar in terms of operation time， postoperative hospital stay， postoperative VAS score and maximum anterior and posterior displacement of knee joint， with P values greater than 0.05， which had no statistical significance. The postoperative drainage volume in the observation group was significantly less than that in the control group， with statistical significance （P < 0.05）. The HGB difference of observation group was significantly lower than that of control group， with statistical significance （P < 0.05）. There was no statistically significant difference in ROM and HSS scores between the two groups before surgery； the ROM and HSS scores of the control group at 7， 14 and 45 days after surgery was better than that of the observation group， with statistical significance （P < 0.05）； the ROM and HSS scores of the two groups at 3 months after surgery was not statistically significant. The ROM and HSS scores in the observation group was better than that in the control group at 6 months and 1 year after operation， and the difference was statistically significant （P < 0.05）. Conclusions CR prosthesis is superior to PS prosthesis in terms of intraoperative blood loss and post?operative drainage volume， which can reduce surgical risk. Both kinds of prosthesis can achieve good knee stability after surgery， while PS prosthesis has better early clinical effect， while CR prosthesis has better long?term clinical effect.

Key words: knee joint, knee osteoarthritis, total knee arthroplasty, PS prosthesis, CR prosthesis

CLC Number:

R605

Shangzeng WANG,Bei ZHANG,Zhen WANG,Shang MA,Deyang RUANGZHANG,Zhiying YIN,Yunqi ZHU,Kunpeng HU,Shao CHENG. Comparison of the effects of CR and PS prostheses in the treatment of knee osteoarthritis[J]. The Journal of Practical Medicine, 2024, 40(9): 1251-1256.

Figures/Tables 9

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References 25

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组别	HGB（g/L）	ROM（°）	VAS（分）	HSS（分）
观察组（n = 32）	129.88 ± 10.51	75.13 ± 5.67	8.25 ± 1.18	61.72 ± 5.35
对照组（n = 32）	126.25 ± 8.49	75.44 ± 10.08	7.89 ± 0.95	59.63 ± 5.31
t值	-1.517	0.153	-1.362	-1.570
P值	0.134	0.879	0.178	0.121

组别	手术时间（min）	术后引流量（mL）	术后住院时间（d）
观察组（n = 32）	76.53 ± 11.00	78.70 ± 18.6	13.81 ± 1.87
对照组（n = 32）	75.66 ± 9.27	101.20 ± 21.83	13.94 ± 2.08
t值	-0.344	4.438	0.253
P值	0.732	0.000	0.801

组别	术前HGB	术后HGB	HGB减小值
观察组（n = 32）	129.88 ± 10.51	97.59 ± 15.20	32.28 ± 10.15
对照组（n = 32）	126.25 ± 8.49	86.53 ± 11.70	39.72 ± 9.62
t值	-1.517	-3.263	3.009
P值	0.134	0.002	0.004

组别	术前（°）	术后7 d（°）	术后14 d（°）	术后45 d（°）	术后3个月（°）	术后6个月（°）	术后1年（°）
观察组（n = 32）	75.13 ± 5.67	82.00 ± 8.45	88.47 ± 8.42	94.63 ± 5.49	102.66 ± 10.24	116.50 ± 9.53	131.47 ± 10.30
对照组（n = 32）	75.44 ± 10.08	86.63 ± 7.53	92.56 ± 7.16	98.72 ± 7.94	105.47 ± 9.53	111.50 ± 10.1	125.47 ± 9.54
t值	0.153	2.309	-2.096	2.398	1.138	-2.037	-2.418
P值	0.879	0.024	0.04	0.019	0.260	0.046	0.019

组别	术后7 d	术后14 d	术后45 d	术后3个月	术后6个月	术后1年
观察组（n = 32）	-	-	-	5.91 ± 1.33	5.91 ± 1.23	5.97 ± 1.15
对照组（n = 32）	-	-	-	5.47 ± 1.19	5.47 ± 0.98	5.66 ± 0.865
t值				-1.387	1.574	1.229
P值	-	-	-	0.170	0.121	0.224

Comparison of the effects of CR and PS prostheses in the treatment of knee osteoarthritis

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组别	术前	7 d	14 d	45 d	90 d	术后6个月	术后1年
观察组（n = 32）	8.25 ± 1.18	7.86 ± 1.31	6.52 ± 1.00	5.32 ± 0.46	3.7 ± 0.96	3.02 ± 0.45	2.32 ± 0.38
对照组（n = 32）	7.89 ± 0.95	7.27 ± 1.53	6.18 ± 0.83	4.98 ± 1.01	3.27 ± 0.63	3.19 ± 0.47	2.50 ± 0.51
t值	-1.362	-1.668	-1.489	-1.755	-2.624	1.471	1.626
P值	0.178	0.100	0.142	0.086	0.11	0.147	0.109

组别	术前	7 d	14 d	45 d	90 d	术后6个月	术后1年
观察组（n = 32）	61.72 ± 5.35	63.94 ± 7.10	68.47 ± 8.90	72.5 ± 9.53	76.5 ± 9.41	89.47 ± 9.45	94.53 ± 8.54
对照组（n = 32）	59.63 ± 5.31	70.5 ± 8.52	73.50 ± 8.53	78.50 ± 9.12	79.50 ± 9.56	84.47 ± 10.46	89.50 ± 9.44
t值	-1.570	-3.348	-2.309	-1.266	-1.266	2.006	2.237
P值	0.121	0.001	0.024	0.012	0.210	0.049	0.029

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