Chun, Churl Hong
(Department of Orthopedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea.)
,
Kim, Jeong Woo
(Department of Orthopedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea.)
,
Kim, Hyun Jun
(Department of Orthopedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea.)
,
Lim, Chul Min
(Department of Orthopedic Surgery, School of Medicine, Wonkwang University, Iksan, Korea.)
,
Kim, Kwang Mee
(Department of Medicine, Wonkwang University Graduate School, Institute of Wonkwang Medical Science, Iksan, Korea.)
목적: 퇴행성 관절염 환자에게 슬관절 전치환술을 시행함에 있어, 후방십자인대 보존 여부에 따른 임상적, 방사선학적 결과에 대해 비교하파 하였다.
대상 및 방법: 퇴행성 관절염 환자 193명(223예) 중 P.F.C. 형의 슬관절 전치환술을 시행하고 6년 이상 경과 관찰이 가능하였던 퇴행성 관절염 환자 168명(188예)을 후방십자인대 보존군 96예, 대치군은 92예로 나누어 분석하였다.
결과: 술 전 Knee Society 슬관절 점수와 HSS 평가지수 및 굴곡 구축, 방사선학적 정렬은 두군 모두에서 통계학적으로 호전되었지만 양군간의 차이는 통계학적 의의가 없었다. 반면에 평균 후속 굴곡각은 술 전 보존군 114.7도, 대치군 119.3도였으나, 추시상 각각 121.2도와 131.3도로 증가되어, 술 후 평균 후속 굴곡각은 대치군에서 더 증가되었다(p＜0.05)
결론: 보존군과 대치군 사이에 술 후 슬관절 점수등의 임상적인 결과 및 방사선적 결과에 차이는 없었으나, 후속 굴곡각은 대치군에서 보존군보다 더 향상되었다.
목적: 퇴행성 관절염 환자에게 슬관절 전치환술을 시행함에 있어, 후방십자인대 보존 여부에 따른 임상적, 방사선학적 결과에 대해 비교하파 하였다.
대상 및 방법: 퇴행성 관절염 환자 193명(223예) 중 P.F.C. 형의 슬관절 전치환술을 시행하고 6년 이상 경과 관찰이 가능하였던 퇴행성 관절염 환자 168명(188예)을 후방십자인대 보존군 96예, 대치군은 92예로 나누어 분석하였다.
결과: 술 전 Knee Society 슬관절 점수와 HSS 평가지수 및 굴곡 구축, 방사선학적 정렬은 두군 모두에서 통계학적으로 호전되었지만 양군간의 차이는 통계학적 의의가 없었다. 반면에 평균 후속 굴곡각은 술 전 보존군 114.7도, 대치군 119.3도였으나, 추시상 각각 121.2도와 131.3도로 증가되어, 술 후 평균 후속 굴곡각은 대치군에서 더 증가되었다(p＜0.05)
결론: 보존군과 대치군 사이에 술 후 슬관절 점수등의 임상적인 결과 및 방사선적 결과에 차이는 없었으나, 후속 굴곡각은 대치군에서 보존군보다 더 향상되었다.
Purpose: To compare the functional results of posterior cruciate-retaining (PCR) and posterior substituting (PS) replacement in patients undergoing primary total knee arthroplasty (TKA) for osteoarthritis. Materials and Methods: A randomized controlled study was carried out to compare the clinical a...
Purpose: To compare the functional results of posterior cruciate-retaining (PCR) and posterior substituting (PS) replacement in patients undergoing primary total knee arthroplasty (TKA) for osteoarthritis. Materials and Methods: A randomized controlled study was carried out to compare the clinical and radiological outcomes of PCR and PS primary P.F.C.？/SUP> TKA. One hundred and sixty eight patients (188 cases), who had a primary diagnosis of osteoarthritis, and an intact functioning posterior cruciate ligament, were enrolled in this study. The patients were randomized regardless of the level of posterior cruciate ligament preservation. One hundred and eighty eight cases had a minimum 6-year follow-up, which included 96 and 92 cases in the PCR and PS groups, respectively. Results: The Knee Society Score, the Hospital for Special Surgery (HSS) knee rating scores, average flexion contracture and radiologic alignment improved significantly, but there were no significant difference between the two groups. On the other hand, the mean postoperative flexion angles in the PCR and PS knees increased from 114.7° to 121.2° and 119.3° to 131.3°, respectively (p＜0.05). Conclusion: There were no significant differences between PCR and PS TKA in the follow-up knee scores. However, the level of postoperative improvement in further flexion was better in the PS group.
Purpose: To compare the functional results of posterior cruciate-retaining (PCR) and posterior substituting (PS) replacement in patients undergoing primary total knee arthroplasty (TKA) for osteoarthritis. Materials and Methods: A randomized controlled study was carried out to compare the clinical and radiological outcomes of PCR and PS primary P.F.C.？/SUP> TKA. One hundred and sixty eight patients (188 cases), who had a primary diagnosis of osteoarthritis, and an intact functioning posterior cruciate ligament, were enrolled in this study. The patients were randomized regardless of the level of posterior cruciate ligament preservation. One hundred and eighty eight cases had a minimum 6-year follow-up, which included 96 and 92 cases in the PCR and PS groups, respectively. Results: The Knee Society Score, the Hospital for Special Surgery (HSS) knee rating scores, average flexion contracture and radiologic alignment improved significantly, but there were no significant difference between the two groups. On the other hand, the mean postoperative flexion angles in the PCR and PS knees increased from 114.7° to 121.2° and 119.3° to 131.3°, respectively (p＜0.05). Conclusion: There were no significant differences between PCR and PS TKA in the follow-up knee scores. However, the level of postoperative improvement in further flexion was better in the PS group.
참고문헌 (21)
Clin Orthop Relat Res Akisue 400 165 2002 10.1097/00003086-200207000-00021
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