膝关节翻修术中使用套筒进行直接、非骨水泥型干骺端固定——短期结果
Direct, Cementless, Metaphyseal Fixation in Knee Revision Arthroplasty With Sleeves-Short-Term Results.
作者信息
Graichen Heiko, Scior Wolfgang, Strauch Marco
机构信息
Department of Arthroplasty, Hospital for Orthopaedic Surgery Lindenlohe, Schwandorf, Germany.
出版信息
J Arthroplasty. 2015 Dec;30(12):2256-9. doi: 10.1016/j.arth.2015.06.030. Epub 2015 Jun 20.
Different options for implant fixation in revision TKA exist. Small series have been published on direct cementless fixation with sleeves. The objective of this study was to analyze the short- and mid-term results of sleeve-fixation in a large revision TKA series. In this prospective study 121 patients with 193 sleeves (119 tibial and 74 femoral) were included. Mean follow-up was 3.6 years (2-6.1 years). Analysis included clinical and radiographic assessment. ROM, KSS and Functional Score improved significantly. Fourteen patients (11.4%) underwent operative re-revision during the follow-up period. Direct cementless fixation in the metaphysis by sleeves is a promising option for implant fixation in revision TKA, both on the tibial and femoral side.
在翻修全膝关节置换术（TKA）中，存在多种植入物固定的选择。关于使用套筒进行直接非骨水泥固定的小样本研究已经发表。本研究的目的是分析在大型翻修TKA系列中套筒固定的短期和中期结果。在这项前瞻性研究中，纳入了121例患者的193个套筒（119个胫骨套筒和74个股骨套筒）。平均随访时间为3.6年（2 - 6.1年）。分析包括临床和影像学评估。关节活动度（ROM）、膝关节协会评分（KSS）和功能评分均有显著改善。14例患者（11.4%）在随访期间接受了再次手术翻修。通过套筒在干骺端进行直接非骨水泥固定，对于翻修TKA中胫骨和股骨侧的植入物固定来说，是一种有前景的选择。
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