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目的研究定制肿瘤型旋转铰链式膝关节假体术后的并发症以及相关因素。方法现收集骨科膝关节良恶性骨肿瘤患者共59例,经本院治疗之后进行随访观察,观察患者的并发症发生情况。结果本院选取的59例患者,其中并发症发生6例,发生率为10.16%。其中2例假体周围感染,2例假体周围骨折,1例切口愈合不良,1例腘动脉损伤。随访:所有59例患者经3年随访,其中第1年康复符合MSTS标准12例患者,占20.34%,第2年随访康复符合MSTS标准37例,占62.71%,第3年随访康复符合MSTS标准11例,占18.64%。结论经过本院的诊治,通过数据统计分析,并发症的发生与假体的生存、手术部位和假体类型相关,并且随访患者康复效果评价符合MSTS标准主要集中在第2年。
Objective To study the postoperative complications and related factors of custom tumor rotary arthrodesis knee prosthesis. Methods A total of 59 patients with benign or malignant bone tumors of the orthopaedic knee were collected. After follow-up observation in this hospital, the complications of the patients were observed. Results Of the 59 patients selected in this hospital, 6 cases had complications. The incidence rate was 10.16%. Among them, 2 cases had periprosthetic infection, 2 had periprosthetic fractures, 1 had poor wound healing, and 1 had radial artery injury. Follow-up: All 59 patients were followed up for 3 years. The first year of rehabilitation met the MSTS criteria in 12 patients, accounting for 20.34%. The second year follow-up rehabilitation met the MSTS criteria in 37 cases, accounting for 62.71%. The 3rd year follow-up rehabilitation met the MSTS standard. 11 cases, accounting for 18.64%. Conclusion After diagnosis and treatment in our hospital, through statistical analysis of data, the occurrence of complications is related to the survival of the prosthesis, the surgical site and the type of prosthesis, and the evaluation of the follow-up patients’ rehabilitation effect in accordance with the MSTS standard is mainly concentrated in the second year.