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活动平台膝关节置换术后 2 年的关节活动范围预测:保留后交叉韧带与牺牲后交叉韧带。

Prediction of range of motion 2 years after mobile-bearing total knee arthroplasty: PCL-retaining versus PCL-sacrificing.

机构信息

Ishii Orthopaedic and Rehabilitation Clinic, 1089 Shimo-Oshi, Gyoda, Saitama, 361-0037, Japan.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2011 Dec;19(12):2002-8. doi: 10.1007/s00167-011-1395-2. Epub 2011 Feb 3.

DOI:10.1007/s00167-011-1395-2
PMID:21290111
Abstract

PURPOSE

This study evaluated the changes in the range of motion (ROM) with time postoperatively.

METHOD

The pre- and intraoperative ROM was compared with the ROM 3, 6, 12, and 24 months postoperatively to clarify the effects of posterior cruciate ligament-retaining (PCLR) and posterior cruciate ligament-sacrificing (PCLS) prostheses on the ROM. The changes in the ROM in PCLR (n = 57) and PCLS (n = 51) mobile-bearing total knee arthroplasties for osteoarthritis patients for whom complete data were available were examined.

RESULTS

No significant difference was seen between the two prostheses at any time point. Nevertheless, the ROM 24 months after PCLR and PCLS prostheses could be predicted statistically from the ROM after 6 and 3 months, respectively.

CONCLUSION

This study showed the effects of retention of the PCL and the degree of its functional recovery on postoperative ROM for the two prostheses.

摘要

目的

本研究评估了术后时间对关节活动度(ROM)的变化。

方法

比较术前和术中 ROM 与术后 3、6、12 和 24 个月的 ROM,以阐明保留后交叉韧带(PCLR)和牺牲后交叉韧带(PCLS)假体对 ROM 的影响。对有完整数据的骨关节炎患者接受的 PCLR(n=57)和 PCLS(n=51)活动平台全膝关节置换术中的 ROM 变化进行了检查。

结果

在任何时间点,两种假体之间均无显著差异。然而,PCLR 和 PCLS 假体在术后 6 个月和 3 个月后的 ROM 可以通过统计学预测 24 个月后的 ROM。

结论

本研究表明保留后交叉韧带及其功能恢复程度对两种假体术后 ROM 的影响。

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J Bone Joint Surg Am. 2009 Apr;91(4):753-60. doi: 10.2106/JBJS.H.00805.
2
Knee range of motion during the first two years after use of posterior cruciate-stabilizing or posterior cruciate-retaining total knee prostheses. A randomized clinical trial.使用后交叉韧带稳定型或后交叉韧带保留型全膝关节假体后两年内的膝关节活动范围。一项随机临床试验。
J Bone Joint Surg Am. 2008 Dec;90(12):2579-86. doi: 10.2106/JBJS.G.00995.
3
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4
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J Clin Orthop Trauma. 2018 Apr-Jun;9(2):142-145. doi: 10.1016/j.jcot.2016.10.013. Epub 2016 Nov 18.
5
Manipulation under anesthesia following total knee arthroplasty: a comprehensive review of literature.全膝关节置换术后麻醉下手法治疗:文献综述
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