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固定平台与旋转平台全膝关节置换术后影像学和患者评估结果的随机对照试验。

Randomized controlled trial of radiographic and patient-assessed outcomes following fixed versus rotating platform total knee arthroplasty.

机构信息

Division of Lower Limb Reconstruction and Oncology, Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

J Arthroplasty. 2010 Dec;25(8):1201-8. doi: 10.1016/j.arth.2009.10.002. Epub 2009 Dec 21.

DOI:10.1016/j.arth.2009.10.002
PMID:20022460
Abstract

This prospectively blinded randomized controlled study evaluated the difference in the functional and radiological outcomes in patients who received a press-fit condylar Sigma cemented cruciate-substituting total knee arthroplasty with either a rotating platform (RP) or a fixed bearing (FB). There were 51 joints in 49 patients: 24 joints in the RP group (mean follow-up, 43 months) and 27 joints in the FB group (mean follow-up, 40 months). At baseline, there was no significant difference in age, body mass index, preoperative diagnosis, Charnley class, range of motion, clinical and functional scores, between the RP and FB groups. At mid-term follow up both the RP and FB give equivalent results, but patients with the RP tended to have a higher activity level score.

摘要

本前瞻性盲法随机对照研究评估了在接受压配合髁 Sigma 骨水泥固定交叉韧带替代型全膝关节置换术的患者中,使用旋转平台(RP)或固定轴承(FB)的患者在功能和影像学结果方面的差异。共有 49 名患者的 51 个关节:RP 组 24 个关节(平均随访 43 个月),FB 组 27 个关节(平均随访 40 个月)。在基线时,RP 和 FB 两组在年龄、体重指数、术前诊断、Charnley 分级、活动范围、临床和功能评分方面无显著差异。中期随访时,RP 和 FB 两组的结果相当,但 RP 组患者的活动水平评分较高。

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