Conway Janet D, Mont Michael A, Bezwada Hari P
Rubin Institute for Advanced Orthopaedics, 2401 West Belvedere Avenue, Baltimore, MD 21215, USA.
J Bone Joint Surg Am. 2004 Apr;86(4):835-48. doi: 10.2106/00004623-200404000-00027.
The most common indication for arthrodesis of the knee is an infection at the site of a total knee arthroplasty. Deficiencies in bone stock and poor bone apposition adversely affect the success of a knee arthrodesis. Arthrodesis of the knee can provide a stable, painless extremity for high-functioning patients who are able to walk. Patient function after arthrodesis of the knee is superior to that after above-the-knee amputation. Conversion of a solid knee fusion to a total knee arthroplasty has a substantial complication rate.
膝关节融合术最常见的指征是全膝关节置换部位的感染。骨量不足和骨对合不良会对膝关节融合术的成功产生不利影响。对于能够行走的高功能患者,膝关节融合术可以提供一个稳定、无痛的肢体。膝关节融合术后的患者功能优于膝上截肢术后的功能。将牢固的膝关节融合转换为全膝关节置换术有相当高的并发症发生率。