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骨水泥型与非骨水泥型股骨假体在全膝关节置换术中的应用比较。

Cemented versus uncemented femoral components in total knee arthroplasty.

机构信息

Centre Albert Trillat, Hôpital de la Croix-Rousse, 103 Grande rue de la Croix Rousse, 69004 Lyon, France.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2011 Jul;19(7):1053-9. doi: 10.1007/s00167-010-1347-2. Epub 2010 Dec 15.

DOI:10.1007/s00167-010-1347-2
PMID:21161174
Abstract

PURPOSE

The aim of this study is to analyse the influence of femoral cement on clinical and radiological results after total knee arthroplasty.

METHODS

Preoperatively 130 patients were randomly assigned to treatment in either the Cement Group or the Hybrid Group. The International Knee Society scores, femoral radiolucent lines and bone transparencies were compared.

RESULTS

There were no significant differences concerning postoperative knee and function scores. We observed a significant difference in radiolucent lines (Cement Group, 24%; Hybrid Group, 2%; P < 0.001) as well as bone transparencies (Cement Group, 21%; Hybrid Group, 62%; P < 0.001). All radiolucent lines measured less than 2 mm in width.

CONCLUSION

Cementing the femoral component of a total knee arthroplasty does not appear to influence the clinical results. A longer follow-up period is required to determine the influence of radiological findings on final outcome.

摘要

目的

本研究旨在分析全膝关节置换术后股骨水泥对临床和影像学结果的影响。

方法

术前将 130 例患者随机分为水泥组或混合组进行治疗。比较国际膝关节学会评分、股骨透亮线和骨透明度。

结果

术后膝关节和功能评分无显著差异。我们观察到在透亮线(水泥组 24%,混合组 2%;P<0.001)和骨透明度(水泥组 21%,混合组 62%;P<0.001)方面有显著差异。所有测量的透亮线宽度均小于 2 毫米。

结论

全膝关节置换术中股骨部件的水泥固定似乎不会影响临床结果。需要更长的随访时间来确定影像学发现对最终结果的影响。

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J Arthroplasty. 2010 Jun;25(4):507-13. doi: 10.1016/j.arth.2009.04.018. Epub 2009 May 8.
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Cemented versus uncemented fixation of the femoral component of the NexGen CR total knee replacement in patients younger than 60 years: a prospective randomised controlled RSA study.NexGen CR全膝关节置换术股骨组件在60岁以下患者中骨水泥固定与非骨水泥固定的比较:一项前瞻性随机对照RSA研究
Knee. 2009 Jun;16(3):200-6. doi: 10.1016/j.knee.2008.11.009. Epub 2008 Dec 19.
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Hydroxyapatite-coated tapered cementless femoral components in total hip arthroplasty.
Fragility Index as a Measure of Randomized Clinical Trial Quality in Adult Reconstruction: A Systematic Review.
脆弱性指数作为成人重建随机临床试验质量的衡量指标:一项系统评价。
Arthroplast Today. 2021 Oct 11;11:239-251. doi: 10.1016/j.artd.2021.08.018. eCollection 2021 Oct.
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The effect of fixation type on the survivorship of contemporary total knee arthroplasty in patients younger than 65 years of age: a register-based study of 115,177 knees in the Nordic Arthroplasty Register Association (NARA) 2000-2016.固定方式对 65 岁以下患者全膝关节置换术后存活率的影响:基于北欧关节置换注册协会(NARA)2000-2016 年 115177 例膝关节的注册研究。
Acta Orthop. 2020 Apr;91(2):184-190. doi: 10.1080/17453674.2019.1710373. Epub 2020 Jan 13.
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