Department of Orthopaedic Surgery, Seoul Veterans Hospital, 6-2 Dunchon Dong, Kangdong Ku, Seoul, South Korea.
J Arthroplasty. 2012 Jun;27(6):1111-8. doi: 10.1016/j.arth.2011.09.019. Epub 2011 Oct 22.
Hybrid total knee arthroplasty (TKA) (uncemented femur with cemented tibia and patella) was introduced in the late 1980s to gain the theoretical advantage of durable cementless femoral fixation while avoiding the problems noted with cementless tibial fixation. From December 1992 to July 2000, 215 patients (235 knees) who underwent hybrid TKA were enrolled in this study. Five types of prosthesis (AGC, Maxim, LCS-M, LCS-APG, and Scorpio) were used. Revision rate for aseptic loosening was 16 (6.8%) of 235 knees. At 10 and 15 years, survivorship with tibial or femoral revision as the end point was 0.95 and 0.92, respectively. Hybrid TKA provides durable fixation with clinical and radiographic performance at minimum 10 years comparable with cemented series.
混合全膝关节置换术（TKA）（非骨水泥股骨与骨水泥胫骨和髌骨）于 20 世纪 80 年代后期引入，旨在获得理论上坚固的非骨水泥股骨固定优势，同时避免非骨水泥胫骨固定的问题。1992 年 12 月至 2000 年 7 月，我们对 215 名（235 膝）接受混合 TKA 的患者进行了这项研究。使用了 5 种假体（AGC、Maxim、LCS-M、LCS-APG 和 Scorpio）。无菌性松动的翻修率为 235 膝中的 16 膝（6.8%）。10 年和 15 年时，以胫骨或股骨翻修为终点的生存率分别为 0.95 和 0.92。混合 TKA 提供了持久的固定，临床和影像学表现至少在 10 年内与骨水泥系列相当。
