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[骨水泥型全膝关节置换术后10年的良好效果]

[Good 10-year results following cemented total knee arthroplasty].

作者信息

Nelissen R G, Rozing P M

机构信息

Academisch Ziekenhuis, afd. Orthopedie, Leiden.

出版信息

Ned Tijdschr Geneeskd. 1992 Jun 20;136(25):1206-10.

PMID:1614569
Abstract

The results of primary total knee arthroplasty in patients with a follow-up of 4-10 years are presented. The study population consisted of osteoarthritis as well as rheumatoid arthritis patients. Both groups were analyzed separately for postoperative pain reduction at rest and during activity, as well as for improvement of some daily activities (walking distance, stair climbing). Pain reduction at rest and during activity was maintained during the follow-up period of 4-10 years. The walking distance and the ability to climb stairs improved during the first few postoperative years, but declined in the later postoperative years. Survival curve analysis of the total knee arthroplasty showed good results for osteoarthritis as well as rheumatoid arthritis (estimated probability of survival of the prosthesis at 10 years' follow-up was 94%).

摘要

本文呈现了初次全膝关节置换术后4至10年随访患者的结果。研究人群包括骨关节炎患者以及类风湿关节炎患者。对两组患者分别分析了静息及活动时的术后疼痛减轻情况,以及一些日常活动(步行距离、爬楼梯)的改善情况。在4至10年的随访期内,静息及活动时的疼痛减轻情况得以维持。术后最初几年,步行距离和爬楼梯能力有所改善,但在术后后期有所下降。全膝关节置换术的生存曲线分析显示,骨关节炎和类风湿关节炎患者的结果均良好(随访10年时假体的估计生存概率为94%)。

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