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骨科手术早知道175:膝关节置换(Knee Replacement)

 冷面人0311 2017-07-23


  当膝关节疾病无法用药物、改变生活方式、控制体重等保守治疗改善症状时,病人面临着手术治疗。膝关节融合术需要牺牲膝关节的活动,因此目前较少应用。根据软骨面损伤的程度和范围,病人的年龄、年重、全身健康条件等因素,可选择截骨矫形、单髁(单间室)置换、全膝关节置换等手术。




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A Patient's Guide To Knee Replacement

膝关节置换病人指南


Knee problems can occur from injury, aging, wear and tear, or diseases such as arthritis.

  当外伤、年龄老化、磨损撕裂及诸如关节炎等病变会引起膝关节疾患。


Arthritis causes protective cartilage to wear away, leading to painful bone on bone rubbing, knee stiffness, swelling and loss of function.

  关节炎会导致保护性的软骨磨损,引起骨与骨磨损而产生疼痛、膝关节僵硬、肿胀及功能障碍。


When medications and lifestyle adjustments fail to improve symptoms, knee replacement (or arthroplasty) may be recommended.

  当药物和生活方式调整不能改善症状,推荐进行膝关节置换术(成形术)。


Knee replacement involves  removing the damaged knee joint and  replacing it with artificial implants. This relieves pain and restores motion.

  膝关节置换是将受损部分的膝关节去除,用人工植入物来代替。这样可以解除疼痛,并保留运动。


There are many types of artificial knee joints. The one you received depends on your age, weight, activity level and over all health. there are also implants made specifically for women.

  目前有许多种类的人工膝关节。根据您的年龄、体重、活动强度及全身的健康状态,来选择适合您的人工关节。也有专门为女性设计的植入物。


Let's take a look at knee replacement.

  让我们一起来看看膝关节置换术。


Your knee will be placed in a bend position for most of the surgery. A six to twelve inch incision is made in front of the knee. The thigh muscles and knee cap are gently moved aside to allow access to the joint. Damaged bone and cartilage are removed. The artificial joint is then secured into  place. The incision is then closed and bandaged.

  大多数手术中膝关节置于屈曲的位置。在膝关节前方作6~12英寸的切口。将大腿的肌肉和髌骨轻柔地牵开以显露关节。将受损的骨头和软骨去除,安装人工关节。然后关闭切口关包扎。


Walking and knee movements are very important to your recovery. At first, you will need to use a walker or crutches. You will begin physical therapy immediately following your surgery. It's important that you adhere to your exercise program and safety precausions when you return home. You should notice gradual improvement over the next weeks to months. Over all, knee replacement is highly successful for relieving pain and restoring joint function.

  行走和膝关节活动对于术后康复非常重要。起先,你可能需要使用助行器或拐杖。术后很快就开始进行物理治疗。很重要的一点是您回家后要坚持按计划进行锻炼,并遵守安全防范措施。此后的数周或数月间,您应注意逐渐强化训练。总而言之, 膝关节置换术对于缓解疼痛的保留功能有很高的成功率。


(胡佰文  听



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