Nichols S J, Landon G C, Tullos H S
Department of Orthopedic Surgery, Baylor College of Medicine, Houston, Texas 77030.
J Bone Joint Surg Am. 1991 Aug;73(7):1020-4.
Eleven patients were treated by arthrodesis with dual compression plates after failed total knee arthroplasty. All patients had a solid fusion, at an average of 5.6 months after the operation. The complications included one femoral stress fracture and one persistent infection, both of which were treated successfully. Fixation with dual compression plates is a useful technique for the salvage of a failed total knee arthroplasty, even when the patient has an infection. Staggering of the plates may help to prevent late stress fractures.
11例全膝关节置换失败后采用双加压钢板进行关节融合术治疗。所有患者均获得牢固融合,平均术后5.6个月。并发症包括1例股骨应力性骨折和1例持续感染,均成功治愈。即使患者存在感染,双加压钢板固定也是挽救全膝关节置换失败的一种有用技术。钢板交错排列可能有助于预防晚期应力性骨折。