Kim Y-H, Kim J-S
The Joint Replacement Center of Korea, Ewha Womans University School of Medicine, MokDung Hospital, MokDung, YangChun-Ku, Seoul 110-783, Korea.
J Bone Joint Surg Br. 2008 Oct;90(10):1311-6. doi: 10.1302/0301-620X.90B10.20857.
The purpose of this study was to determine objectively the outcome of total knee replacement in patients with ankylosed knees. There were 82 patients (99 knees) with ankylosed knees who underwent total knee replacement with a condylar constrained or a posterior stabilised prosthesis. Their mean age was 41.9 years (23 to 60) and the mean follow-up was for 8.9 years (6.6 to 14). Pre- and post-operative data included the Hospital for Special Surgery (HSS), the Knee Society (KS) and the Western Ontario and McMaster University Osteoarthritis index (WOMAC) scores. The mean HSS, KS and WOMAC scores improved from 60, 53, and 79 pre-operatively to 81, 85, and 37 at follow-up. These improvements were statistically significant (p = 0.018, 0.001 and 0.014 respectively). The mean physical, social and emotional WOMAC scores also improved significantly (p = 0.032, p = 0.023 and p < 0.001 respectively). The mean satisfaction score was 8.5 (SD 1.5). Total knee replacement gives good mid-term results in patients with ankylosed knees.
本研究的目的是客观地确定膝关节强直患者全膝关节置换的结果。有82例（99膝）膝关节强直患者接受了髁限制型或后稳定型假体的全膝关节置换。他们的平均年龄为41.9岁（23至60岁），平均随访时间为8.9年（6.6至14年）。术前和术后数据包括特种外科医院（HSS）、膝关节协会（KS）和西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分。HSS、KS和WOMAC的平均评分从术前的60、53和79分别提高到随访时的81、85和37。这些改善具有统计学意义（分别为p = 0.018、0.001和0.014）。WOMAC的平均身体、社会和情感评分也显著改善（分别为p = 0.032、p = 0.023和p < 0.001）。平均满意度评分为8.5（标准差1.5）
全膝关节置换术在膝关节强直患者中取得了良好的中期效果。
