Total Knee Arthroplasty For Treatment Of Severe Degenerative Knee Osteoarthritis

Objective: To investigate the clinical effect for treatment of severe degenerative knee osteoarthritis by the total knee arthroplasty. methods : 67 patients with osteoarthritis (85knees) treated by total knee arthroplasty (TKA) between September 2004 and September were analyzed retrospectively, to evaluate the clinical effect according to HSS score . Results: 67 patients (85knees) were followed up for 12 to 36 months, average of 19.3 months, the average scores were 34 preoperatively and 89.6 postoperatively, the average rang of motion was 78°preoperatively and 105°postoperatively, the operation effects were excellent in 48 knees, good in 30 knees, normal in 6 knees and poor in 1 knee, the excellent good rate was 91.8%. The patients' pain, joint function, activity, abnormality and stability were improved transparently after operation. All patients had no complications of infection. Conclusion: The TKA is an effective method in treating degenerative knee osteoarthritis, which has prominent clinical effect. Familiarizing the instrument, measuring pre-operation carefully and preventing the complication, correct rehabilitating post-operation are very important to the clinical curative effect.