老年膝关节退行性骨关节炎的关节置换手术时机选择和疗效观察

摘要

Objective:To observe the senile knee osteoarthritis joint replacement surgery timing and efficacy. Methods: Our hospital orthopedics to heal from November 2009 to November 2012, 150 elderly patients with knee osteoarthritis patients. They divided according to age into three groups, 60 to 70 years old, 50 patients as a group A, 71 to 75 years old, 50 patients as group B, 50 patients 76 to 80 years old as the C group. Before surgery and six weeks after joint replacement surgery, 6 months, 12 months, on the evaluation of the functional and symptoms of these patients’ recovery position. Results:A group of 100 cases of patients before the average index score of osteoarthritis (WOMAC) was 95.6 points, B group was 97.4 points, C group was 96.2 points. After surgery A group of 100 patients with WOMAC scores an average reduction of 25 points 38 points in group B, group C only 12 points, you can find This two or three patients have significant differences in WOMAC score after surgery (P<0.05). Group B patients symptoms improve, improve the degree of the lowest C patients. Conclusion:Elderly patients of different ages during knee osteoarthritis joint replacement surgery, the effect is not the same, the effect of which 71 to 75-year-old elderly patients the surgery.%目的：观察老年膝关节退行性骨关节炎的关节置换手术时机选择和疗效。方法：选取我院骨科在2009年11月至2012年11月来医治的150例老年膝关节退行性骨关节炎患者。按照年龄将他们划分为三组,60～70岁的50例患者作为A组,71～75岁的50例患者作为B组,76～80岁的50例患者作为C组。在手术前及进行关节置换手术后的6周、6个月、12个月,对这些患者的恢复状况进行功能性及症状上的评价。结果：A组100例患者手术前平均骨关节炎的指数评分(WOMAC)为95.6分,B组为97.4分,C组为96.2分。手术后,A组100例患者的WOMAC评分平均降低了25分,B组减少了38分,C组则只减少了12分,可以发现,这两三患者在手术后的WOMAC评分有着显著的差异(P<0.05)。其中B组患者症状得到有效地改善,C组患者改善程度最低。结论：不同年龄阶段的老年患者在进行膝关节退行性骨关节炎的关节置换手术的疗效不一样,其中71～75岁老年患者进行该手术的效果最佳。