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骨水泥固定长柄翻修全膝关节置换术

Cemented long-stem revision total knee arthroplasty.

作者信息

Whaley Andrew L, Trousdale Robert T, Rand James A, Hanssen Arlen D

机构信息

Department of Orthopedics, Mayo Clinic, Rochester, MN 55905, USA.

出版信息

J Arthroplasty. 2003 Aug;18(5):592-9. doi: 10.1016/s0883-5403(03)00200-6.

Abstract

From 1981 to 1989, 38 cemented, posterior, stabilized, revision, total knee arthroplasties (TKAs) were performed at the authors' institution using the stemmed kinematic stabilizer prosthesis of a single design. The mean clinical follow-up after the index procedure was 10.1 years. The Knee Society pain score averaged 17 points before revision and improved to 51 points at last follow-up, and the function score averaged 48 points before revision and improved to 57 at last follow-up. Ten-year component survival free of revision or removal for any reason was 96.7%; 11-year component survival free of revision for aseptic loosening was 95.7%. Cemented stem fixation in revision TKA provides good clinical results with durable fixation at an average of 10 years' follow-up.

摘要

1981年至1989年期间,作者所在机构使用单一设计的带柄运动稳定型假体进行了38例骨水泥固定、后侧稳定型翻修全膝关节置换术(TKA)。初次手术后的平均临床随访时间为10.1年。膝关节协会疼痛评分在翻修术前平均为17分,在最后一次随访时提高到51分;功能评分在翻修术前平均为48分,在最后一次随访时提高到57分。十年内无任何原因翻修或取出的假体生存率为96.7%;十一年内无无菌性松动翻修的假体生存率为95.7%。翻修TKA中的骨水泥柄固定在平均10年的随访中提供了良好的临床结果和持久的固定效果。

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