Department of Orthopaedic Surgery, Section for Hip and Knee Replacement, Vejle Hospital, Vejle, Denmark.
J Arthroplasty. 2013 Oct;28(9 Suppl):195-8. doi: 10.1016/j.arth.2013.05.010. Epub 2013 Jun 21.
Partial knee arthroplasty (PKA) has shown obvious advantages compared to total knee arthroplasty, but survival of PKA from different institutions and registries has differed. In our institution, 695 consecutive Oxford medial PKAs were performed from 2002 to 2011 with mean follow-up of 4.6 years. The overall 10.7-year survival rate was 85.3% (95% CI: 78.7%-90.0%), and no difference in survival for gender and age younger or older than 60 years was found. One year after PKA, 94.3% were very satisfied or satisfied, as were 93.6% six years postoperatively. The revision rate was 7.3% (n=51), and the most common causes for revision were progression of osteoarthritis (n=16), aseptic loosening (n=11), and pain without loosening (n=10). Only 50% of patients revised for pain without loosening had a satisfactory outcome.
膝关节部分置换术(PKA)与全膝关节置换术相比具有明显优势,但不同机构和注册中心的 PKA 生存率存在差异。在我们机构,2002 年至 2011 年期间共进行了 695 例连续的牛津内侧 PKA,平均随访 4.6 年。总体 10.7 年生存率为 85.3%(95%可信区间:78.7%-90.0%),性别和年龄在 60 岁以下或以上的生存率无差异。PKA 后 1 年,94.3%的患者非常满意或满意,6 年后 93.6%的患者满意。翻修率为 7.3%(n=51),翻修最常见的原因是骨关节炎进展(n=16)、无菌性松动(n=11)和无松动性疼痛(n=10)。仅 50%因无松动性疼痛而翻修的患者获得了满意的结果。