Lang Jason E, Guevara Carlos J, Aitken George S E, Pietrobon Ricardo, Vail Thomas P
Division of Orthopaedic Surgery, Department of Surgery, Duke University Medical Center, Durham, NC, USA.
J Arthroplasty. 2008 Jan;23(1):30-2. doi: 10.1016/j.arth.2006.12.052. Epub 2007 Nov 7.
This study seeks to evaluate the clinical outcomes of a second primary total knee arthroplasty in patients whose initial (contralateral) primary total knee arthroplasty was complicated by stiffness. We retrospectively compared the preoperative and postoperative range of motion and Knee Society Scores from a study group of 15 patients with an age-matched control group. Statistical analysis did not reveal a significant difference in final postoperative range of motion or Knee Society Scores between the 2 groups. However, there was a statistically significant higher rate of closed manipulation in the study group. Therefore, although the study group did show a higher rate of early stiffness, eventual functional outcome was comparable with a nonstiffness control group.
本研究旨在评估初次(对侧)全膝关节置换术后出现僵硬并发症的患者进行二期全膝关节置换术的临床结果。我们回顾性比较了15例研究组患者与年龄匹配的对照组患者术前和术后的活动范围及膝关节协会评分。统计分析未显示两组术后最终活动范围或膝关节协会评分存在显著差异。然而,研究组的闭合手法治疗率在统计学上显著更高。因此,尽管研究组确实显示出早期僵硬发生率较高,但最终功能结果与非僵硬对照组相当。