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7 至 12 年后在大学附属医院使用 Optetrak 后稳定型全膝关节系统的中期结果。

Midterm results of Optetrak posterior-stabilized total knee system after 7 to 12 years in a university hospital.

机构信息

Department of Orthopedic Surgery, Hospital Clinico San Carlos, Madrid, Spain.

出版信息

J Arthroplasty. 2011 Dec;26(8):1326-31. doi: 10.1016/j.arth.2010.11.020. Epub 2011 Jul 12.

Abstract

A clinical study has been carried out on 434 posterior-stabilized knee prostheses (Optetrak; Exactech, Gainesville, Fla) implanted between 1995 and 2000 in a university general hospital by 23 surgeons. At a mean follow-up of 8.8 years, 297 knees in 249 patients were available for review. Average patient age at surgery was 71.8 years. Average body mass index was 28.8 kg/m(2). Mean flexion range was 108° .The average knee score (Hospital for Special Surgery) increased from 48 points preoperatively to 86 points (60-97 points) at the final review. Of the patients, 81% had an excellent or good result, 14.9% had a fair result, and 4.1% had a poor result. Using the Kaplan-Meier method, we obtained a 91.3% predicted implant survival at 12 years including septic and aseptic revision in the best-case scenario.

摘要

一项临床研究对 23 位外科医生于 1995 年至 2000 年在一所大学附属医院植入的 434 例后稳定型膝关节假体(Optetrak;Exactech,盖恩斯维尔,佛罗里达州)进行了研究。在平均 8.8 年的随访中,249 名患者中的 297 个膝关节可进行评估。手术时患者的平均年龄为 71.8 岁。平均体重指数为 28.8kg/m²。平均屈曲范围为 108°。术前膝关节评分(特种外科医院)平均为 48 分,最终随访时平均为 86 分(60-97 分)。81%的患者结果为优或良,14.9%为可,4.1%为差。采用 Kaplan-Meier 法,在最佳情况下包括感染性和无菌性翻修,12 年时预测假体存活率为 91.3%。

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