Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul, Korea.
J Arthroplasty. 2013 Apr;28(4):566-9. doi: 10.1016/j.arth.2012.07.017. Epub 2012 Nov 9.
Legacy constrained condylar knee (LCCK) components are designed in the way that they can also be used in conjunction with a posterior-stabilized (PS) polyethylene insert, when adequate collateral stability is present. This study comprised 27 revision total knee arthroplasties (TKA) treated using an LCCK prosthesis and a PS polyethylene insert. Substantial range of motion and Knee Society score improvements were achieved in all subjects. Radiolucent lines between the block-cement were noted in 6 of 27 knees, but not significant. During TKA requiring the use of a femoral augment or stem extension, the design offering least constraint can be chosen, and an LCCK prosthesis with a PS polyethylene insert could be a satisfactory option.
遗留约束髁膝关节(LCCK)组件的设计方式使其在存在足够侧副稳定性的情况下,也可以与后稳定(PS)聚乙烯插入物一起使用。本研究包括 27 例使用 LCCK 假体和 PS 聚乙烯插入物治疗的翻修全膝关节置换术(TKA)。所有患者的关节活动度和膝关节学会评分均有显著改善。在 27 例膝关节中有 6 例可见块-水泥之间的透亮线,但无明显意义。在需要使用股骨增强或柄延长的 TKA 中,可以选择提供最小约束的设计,而具有 PS 聚乙烯插入物的 LCCK 假体可能是一种满意的选择。