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高屈曲后稳定型全膝关节假体:炒作是否值得?

High-flexion posterior-stabilized total knee prosthesis: is it worth the hype?

作者信息

Jain Sanjeev, Pathak Aditya Chandrashekhar, Kanniyan Kalaivanan, Kulkarni Sourabh, Tawar Sandeep, Mane Prashant

机构信息

Department of Orthopaedics, Dr LH Hiranandani Hospital, Mumbai, India.

出版信息

Knee Surg Relat Res. 2013 Sep;25(3):100-5. doi: 10.5792/ksrr.2013.25.3.100. Epub 2013 Aug 29.

DOI:10.5792/ksrr.2013.25.3.100
PMID:24032097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3767894/
Abstract

High-flexion knee prosthesis was introduced with the aim of obtaining higher degree of flexion and good survivorship in patients with high functional demands or those requiring squatting, kneeling, etc., which is more common in Asians. Based on all the research and experience with this prosthesis, it was concluded that high flexion designs meet the need of deeper degrees of flexion in selected sets of patients only. Results were equal and comparable to the traditional standard posterior-stabilized total knee arthroplasty design and superior to it in terms of gaining more flexion and fulfilling activities, such as squatting, kneeling, and sitting cross-legged.

摘要

高屈曲膝关节假体的引入旨在满足功能需求较高或需要蹲、跪等动作的患者获得更高屈曲度和良好生存率的需求,这在亚洲人中更为常见。基于对这种假体的所有研究和经验,得出的结论是,高屈曲设计仅满足特定患者群体对更大屈曲度的需求。其结果与传统标准后稳定型全膝关节置换术设计相当,在获得更多屈曲度和完成诸如蹲、跪和盘腿坐等活动方面优于传统设计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4c9/3767894/a3058a335034/ksrr-25-100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4c9/3767894/a3058a335034/ksrr-25-100-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4c9/3767894/a3058a335034/ksrr-25-100-g001.jpg

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本文引用的文献

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Clin Orthop Relat Res. 2013 May;471(5):1504-11. doi: 10.1007/s11999-012-2661-4.
2
High-flexion total knee arthroplasty: survivorship and prevalence of osteolysis: results after a minimum of ten years of follow-up.高屈曲度全膝关节置换术:生存情况和骨溶解的发生率:至少 10 年随访结果。
J Bone Joint Surg Am. 2012 Aug 1;94(15):1378-84. doi: 10.2106/JBJS.K.01229.
3
Does a mobile-bearing, high-flexion design increase knee flexion after total knee replacement?
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Indian J Orthop. 2019 Mar-Apr;53(2):270-275. doi: 10.4103/ortho.IJOrtho_268_17.
4
Posterior-stabilized versus cruciate-retained implants for total knee arthroplasty: a meta-analysis of clinical trials.全膝关节置换术中后稳定型与保留交叉韧带型假体的比较:一项临床试验的荟萃分析
Eur J Orthop Surg Traumatol. 2019 May;29(4):937-946. doi: 10.1007/s00590-019-02370-1. Epub 2019 Jan 16.
5
Two- to Four-Year Follow-up Results of Total Knee Arthroplasty Using a New High-Flexion Prosthesis.使用新型高屈曲假体进行全膝关节置换术的2至4年随访结果
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