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118 例采用后稳定型旋转平台膝关节假体的前瞻性研究的 5 至 8 年结果。

Five- to eight-year results of a prospective study in 118 arthroplasties using posterior-stabilized rotating-platform knee implants.

机构信息

Department of Orthopadic Surgery, Lilavati Hospital and Research Centre, Mumbai, India.

出版信息

J Arthroplasty. 2011 Jun;26(4):543-8. doi: 10.1016/j.arth.2010.04.025. Epub 2010 Jun 11.

Abstract

We prospectively enrolled 118 patients (133 knees) whose arthroplasties were performed using posterior-stabilized rotating-platform knee implants. Introduced in year 2000, this implant's performance beyond 5 years is not reported on, to date. We present 5- to 8-year (average, 6.5 years) results of 118 posterior-stabilized rotating-platform knee arthroplasties. Kaplan-Meier survival rate was 100%, considering revision or the need for it as the end point. Mean Knee Society Score improved from 27 (range, 1-54) to 96 (range, 54-100). Mean function score improved from 51 (range, 5-81) to 83 (range, 0-100). No patient had spin-out of rotating bearing or osteolysis. Postoperatively, knee flexion averaged 120° (range, 80°-155°), 34% patients achieved more than 130° flexion, and 67% patients could sit cross legged. Only 5% patients presented with patellofemoral symptoms.

摘要

我们前瞻性地招募了 118 名患者(133 膝),这些患者接受了后稳定型旋转平台膝关节假体置换术。该植入物于 2000 年推出,目前尚无其 5 年以上的性能报告。我们目前报告了 118 例后稳定型旋转平台膝关节置换术的 5 至 8 年(平均 6.5 年)的结果。以翻修为终点,Kaplan-Meier 生存率为 100%。膝关节协会评分从 27 分(范围 1-54 分)平均提高至 96 分(范围 54-100 分)。功能评分从 51 分(范围 5-81 分)平均提高至 83 分(范围 0-100 分)。没有患者出现旋转轴承脱出或骨溶解。术后膝关节平均屈曲 120°(范围 80°-155°),34%的患者达到 130°以上的屈曲,67%的患者可以盘腿而坐。只有 5%的患者出现髌股关节症状。

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