Robertsson Otto, Lidgren Lars
Department of Orthopedics, Lund University Hospital, Lund, Sweden.
J Arthroplasty. 2008 Sep;23(6):801-7. doi: 10.1016/j.arth.2007.07.011. Epub 2008 Mar 4.
We studied 13,299 operations of 3 common unicompartmental implants inserted during 1984 to 2004 and compared their cumulative revision rate during different periods, as well as whether minimally invasive surgery (MIS) had been used. In this way, we tried to evaluate how the introduction of implants and approaches affected the short-term results. The oldest implant, the Link, had stable results over time. However, when used with MIS without adequate instruments or training, the results deteriorated. The initial Oxford results were disappointing (phase I and early phase II models). However, with time, the results improved substantially, even when the phase III version using MIS was introduced. For the Miller/Galante, there was significant improvement with time, and MIS was not found to affect the short-term results.
我们研究了1984年至2004年间植入的3种常见单髁植入物的13299例手术,并比较了它们在不同时期的累积翻修率,以及是否使用了微创手术(MIS)。通过这种方式,我们试图评估植入物和手术方式的引入如何影响短期结果。最古老的植入物Link随着时间推移结果稳定。然而,当与MIS一起使用且没有足够的器械或培训时,结果会恶化。最初的牛津植入物结果令人失望(I期和II期早期型号)。然而,随着时间的推移,结果有了显著改善,即使引入了使用MIS的III期版本。对于Miller/Galante植入物,随着时间的推移有显著改善,且未发现MIS会影响短期结果。