Total Knee Arthroplasty Combined With Traditional Chinese Medicine Treatment Of Flexion Deformities Of Rheumatoid Arthritis Clinical Studies

Purpose:To evaluate the artificial total knee replacement surgery combined with Chinese medicine treatment of flexion deformity of the clinical effects of rheumatoid arthritis.Material and method:The Court since September 2006 has treated 21 cases of 35 cases of rheumatoid arthritis of the knee flexion deformity in patients with the use of computer navigation-assisted total knee replacement surgery, all patients after the implementation of conventional anti-inflammatory, reduces swelling,prevention thrombosis in symptomatic treatment,combined with oral self-made decoction of Chinese medicine treatment.On the one hand,the main points of the surgery,difficult technical analysis summarized the experience of treatment,and summarized the clinical data,analysis,after a long-term follow-up activities under the knee measurement,in degrees of knee flexion residual measurement,KSS knee score and patient satisfaction to evaluate the effect of the extent of surgery;on the other hand,oral administration of Chinese medicine decoction prepared from osteoporosis prevention and treatment of rheumatoid arthritis the body attacks and improve symptoms and compared with pre-hospital to evaluate the symptoms to improve the situation.Stryker Scorpio selected after stable prosthesis and Plus Corporation Tc-Dynamic stability after prosthesis of 21 cases(35 knees) flexion deformity in patients with rheumatoid arthritis computer navigation-assisted total knee replacement surgery,of which seven cases for unilateral knee replacement,14 cases were bilateral knee arthroplasty,postoperative to internal medicine. Before and after surgery for a patient's knee score,and followed up from 3 months to 27 months.Results:After follow-up 3 months to 27 months,through statistical data analysis,the average activity after the knee,knee-buckling residual degrees, KSS knee score improved patient satisfaction.The average preoperative knee score in patients with 16.86±4.29 hours after the last follow-up of patients with an average knee score of 89.69±1.73 hours after the last follow-up with the preoperative knee knee score were significantly different(P＜0.01);patients with preoperative The average pain score of 16.00±2.56 hours after the last follow-up of patients with an average pain score of 47.28±1.41 hours after the last follow-up with preoperative knee pain score were significantly different (P＜0.01);patients with an average preoperative Events score 0.63±0.39 hours after the last follow-up activity in patients with an average score 19.43±1.01 hours after the last follow-up with the preoperative range of knee score were significantly different(P＜0.01);the average pre-operative patients with stable score of 7.57±1.16 hours after the last follow-up of patients with the average stability score 10.00 points,after the last follow-up with the stability of pre-operative knee score were significantly different(P＜0.01);Preoperative features of patients with an average score 8.57±3.04 hours after the last follow-up of patients with an average functional score 85.29±1.23 hours after the last follow-up with the preoperative knee function score were significantly different(P＜0.01)Conclusion:of severe rheumatoid knee flexion deformity of the patients,the use of computer navigation-assisted TKA to make osteotomy and soft tissue balance more precise,postoperative follow-up knee preoperative knee score more significantly improve the operation significantly alleviate the suffering from knee pain,improved knee flexion and extension range of activities,an increase of knee stability.Postoperative knee function score than the preoperative significantly improve,surgery significantly improved knee walking ability. Postoperative combination of self-made according to traditional Chinese medicine decoction of Chinese medicine,"not only disease prevention change" theory,from the perspective of the overall concept to guide prevention and treatment of Chinese medicine RA bone invasion,the idea of improving the symptoms discussed are RA solution to the trend of Chinese medicine,are modern and traditional combination of local and overall combination of significant improvements in symptoms,the lifting of patients with joint pain,correct deformity,to reconstruct a close to normal joints,improving the activity and function of the knee,patients improve the quality of life.