Hohl W M, Crawfurd E, Zelicof S B, Ewald F C
Brigham and Women's Hospital, Boston, Massachusetts.
Clin Orthop Relat Res. 1991 Dec(273):91-7.
Sixty-one Total Condylar III (TC III) prostheses were implanted in 59 patients at the authors' institution between March 1977 and December 1987. Among the knees with adequate clinical and roentgenographic data, the average follow-up period was 6.1 years. There were six primary arthroplasties and 29 revisions in this group. The primary diagnosis was osteoarthrosis in 17 patients, rheumatoid arthritis in 16 patients, and juvenile rheumatoid arthritis in two patients. The knee score improved from 21.9 preoperatively to 73.7 at last follow-up evaluation. Based on the knee score, there were 71% good or excellent results. There were three failures (8.6%). Radiolucent lines were present in at least one component in 71% of patients, but few of these were considered significant. Although rarely needed, the TC III prosthesis has been shown to be a satisfactory and durable solution to complex knee reconstructive problems including severe deformity, ligamentous instability, and bone loss.
1977年3月至1987年12月期间，作者所在机构为59例患者植入了61个全髁型III（TC III）假体。在具备充分临床和影像学资料的膝关节中，平均随访期为6.1年。该组中有6例初次关节成形术和29例翻修手术。主要诊断为骨关节炎17例，类风湿关节炎16例，幼年类风湿关节炎2例。膝关节评分从术前的21.9提高到末次随访评估时的73.7。根据膝关节评分，71%的结果为良好或优秀。有3例失败（8.6%）。71%的患者至少有一个组件出现透光线，但其中很少被认为具有显著性。尽管很少需要，但TC III假体已被证明是解决复杂膝关节重建问题（包括严重畸形、韧带不稳定和骨质流失）的一种令人满意且持久的解决方案。
