Luria Shai, Kandel Leonid, Segal David, Liebergall Meir, Mattan Yoav
Department of Orthopedic Surgery, Hebrew University-Hadassah Medical School, Jerusalem, Israel.
Isr Med Assoc J. 2003 Aug;5(8):552-5.
Revision total knee arthroplasties are performed with increasing frequency due to the increasing numbers of primary arthroplasties.
To retrospectively analyze 71 patients who underwent 78 revision total knee arthroplasties during the years 1991 to 1999
We evaluated the revised knees using the Knee Society Clinical Rating System after an average follow-up period of 3 years and 9 months (2-10 years). The indications for revision included pain and instability, deep infection of the joint, complaints linked to the patella, or post-trauma to the operated knee.
The average knee score (evaluation of the knee joint itself) calculated after the revision was 74.5. The results on the knee score were excellent (> 85) in 48% of patients and poor (< 60) in 22%. The functional results (patient's ability to walk and climb stairs) were only 48.3.
Although the revision of total knee replacements is known to be problematic, most patients show good results on knee examination, and reasonable functional results given the factors involved.
由于初次关节置换手术数量的增加，翻修全膝关节置换术的实施频率也在上升。
回顾性分析1991年至1999年间接受78例翻修全膝关节置换术的71例患者。
在平均随访3年9个月（2至10年）后，我们使用膝关节协会临床评分系统对翻修后的膝关节进行评估。翻修的指征包括疼痛和不稳定、关节深部感染、与髌骨相关的主诉或手术膝关节的创伤后情况。
翻修后计算的平均膝关节评分（对膝关节本身的评估）为74.5。48%的患者膝关节评分结果优秀（>85），22%的患者结果较差（<60）。功能结果（患者行走和爬楼梯的能力）仅为48.3。
尽管全膝关节置换翻修已知存在问题，但大多数患者在膝关节检查中显示出良好的结果，并且考虑到相关因素，功能结果也较为合理。
