Phillips H, Taylor J G
J Bone Joint Surg Br. 1975 Feb;57(1):59-62.
Eighty-three Walldius arthroplasties, performed by one surgeon as salvage operation on the knee joint between 1966 and 1972, were independently reviewed. The fifty-seven living patients with sixty-seven arthroplasties were interviewed and examined and the clinical records of the deceased patients were inspected. Sixty-seven arthroplasties (81 per cent) were successful and sixteen failed (19 per cent). Acrylic cement was used to secure the prosthesis on eight occasions only. There were two primary infections (2-4 per cent) and two delayed (2-4 per cent). Major loosening occurred in three arthroplasties (3-6 per cent). Minor loosening was compatible with a good result. Arthrodesis was successful on the two occasions on which it became necessary to remove the implant. There were no disasters. On the basis of these results it is considered that the Walldius arthroplasty can justifiably be offered as an alternative to primary arthrodesis of the knee.
对1966年至1972年间由一名外科医生进行的83例作为膝关节挽救手术的瓦尔迪厄斯关节成形术进行了独立评估。对57名存活患者的67例关节成形术进行了访谈和检查，并查阅了已故患者的临床记录。67例关节成形术（81%）成功，16例失败（19%）。仅8次使用丙烯酸骨水泥固定假体。有2例原发性感染（2 - 4%）和2例延迟感染（2 - 4%）。3例关节成形术（3 - 6%）发生严重松动。轻微松动与良好结果相符。在两次有必要取出植入物的情况下，关节融合术成功。没有发生灾难性后果。基于这些结果，认为瓦尔迪厄斯关节成形术可以合理地作为膝关节一期关节融合术的替代方法。
