| 初次全膝关节置换术加速康复: 倒刺线缝合关节囊的应用 |
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| 引用本文： | 袁宇飞,张存,李冠军,任志鑫,李艳宝,李晓东,刘炳智,苗洁. 初次全膝关节置换术加速康复: 倒刺线缝合关节囊的应用[J]. 科学技术与工程, 2021, 21(18): 7500-7504. DOI: 10.3969/j.issn.1671-1815.2021.18.014 |
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| 作者姓名： | 袁宇飞 张存 李冠军 任志鑫 李艳宝 李晓东 刘炳智 苗洁 |
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| 作者单位： | 邯郸市中心医院骨五科,邯郸056001 |
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| 摘 要： | 为评价在加速康复理念下初次全膝关节置换术中应用倒刺线缝合关节囊较可吸收线的优势,回顾性分析2018年7月至2019年7月邯郸市中心医院骨五科行初次全膝关节置换术的85例患者,其中倒刺线组41例、可吸收线组44例,比较两组在切口缝合时间、切口并发症、术后关节功能方面的差异.结果 表明:倒刺线组关节囊缝合时间、总缝合时间与可吸收线组相比显著缩短,差异有统计学意义(P =0.003、P=0.035);倒刺线组皮下缝合时间、皮肤缝合时间与可吸收线组相比,差异无统计学意义(P =0.100、P=0.740);倒刺线组切口皮下血肿率低于可吸收线组,倒刺线组切口并发症发生率低于可吸收线组,差异无统计学意义(P=1.0);倒刺线组术后膝关节活动度与可吸收线组相比,差异无统计学意义(P =0.961);术后3月和末次随访两组KSS(Knee Society score)(膝关节协会评分)临床评分及功能评分均较术前明显改善,差异有统计学意义(P＜0.05),两组组间及组内比较差异无统计学意义(P＞0.05).倒刺线缝合关节囊手术时间短,切口并发症少,术后关节功能良好,有利于加速康复,推荐使用.
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| 关 键 词： | 加速康复 初次全膝关节置换术 关节囊 倒刺线 膝关节协会评分(Knee Society score,KSS) |
| 收稿时间： | 2021-02-08 |
| 修稿时间： | 2021-05-30 |
The clinical research of capsular closure with barbed suture in primary total knee arthroplasty under enhanced recovery after surgery |
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| Yuan Yufei,Zhang Cun,Li Guanjun,Ren Zhixin,Li Yanbao,Li Xiaodong,Liu Bingzhi,Miao Jie. The clinical research of capsular closure with barbed suture in primary total knee arthroplasty under enhanced recovery after surgery[J]. Science Technology and Engineering, 2021, 21(18): 7500-7504. DOI: 10.3969/j.issn.1671-1815.2021.18.014 |
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| Authors: | Yuan Yufei Zhang Cun Li Guanjun Ren Zhixin Li Yanbao Li Xiaodong Liu Bingzhi Miao Jie |
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| Affiliation: | Department of orthopedics,Handan central hospital,Handan,Hebei,056001,Department of orthopedics,Handan central hospital,Handan,Hebei,056001,Department of orthopedics,Handan central hospital,Handan,Hebei,056001,Department of orthopedics,Handan central hospital,Handan,Hebei,056001,Department of orthopedics,Handan central hospital,Handan,Hebei,056001,Department of orthopedics,Handan central hospital,Handan,Hebei,056001,Department of orthopedics,Handan central hospital,Handan,Hebei,056001, |
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| Abstract: | |
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| Keywords: | Enhanced recovery after surgery ERAS Primary total knee arthroplasty Capsular Barbed suture KSS |
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