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年轻患者的全膝关节置换术:第二至第四十年无菌性失败的预测因素。

Total knee arthroplasty in young patients: Factors predictive of aseptic failure in the 2nd-4th decade.

作者信息

Camus Tristan, Long William J

机构信息

Insall Scott Kelly Institute, 260 East 66th Street, New York, NY, 10065, United States.

Vancouver Island Health Authority, 1952 Bay Street, Victoria, British Columbia, V8R 1J8, Canada.

出版信息

J Orthop. 2017 Nov 6;15(1):28-31. doi: 10.1016/j.jor.2017.11.004. eCollection 2018 Mar.

DOI:10.1016/j.jor.2017.11.004
PMID:29200709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5702864/
Abstract

OBJECTIVE

In a recently published article we reviewed our long term outcomes of TKA in young patients (<55) with end stage OA. The purpose of this study was to identify what additional factors may predict aseptic failure in these young patients.

METHODS

A retrospective review of all patients in our young TKA database was performed, and included failure only for mechanical wear and loosening.

RESULTS

The IB-II prosthesis, a thin polyethylene (<9 mm), and higher Knee Society functional class at midterm follow-up was associated with higher failure rate.

CONCLUSION

This study helps better identify the etiology of failed young patient TKA.

摘要

目的

在最近发表的一篇文章中,我们回顾了年轻患者(<55岁)终末期骨关节炎全膝关节置换术(TKA)的长期疗效。本研究的目的是确定哪些其他因素可能预测这些年轻患者的无菌性失败。

方法

对我们年轻TKA数据库中的所有患者进行回顾性分析,纳入仅因机械磨损和松动导致的失败病例。

结果

IB-II型假体、薄聚乙烯(<9mm)以及中期随访时较高的膝关节协会功能分级与较高的失败率相关。

结论

本研究有助于更好地确定年轻患者TKA失败的病因。

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本文引用的文献

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What Host Factors Affect Aseptic Loosening After THA and TKA?哪些宿主因素会影响全髋关节置换术(THA)和全膝关节置换术(TKA)后的无菌性松动?
Clin Orthop Relat Res. 2015 Aug;473(8):2700-9. doi: 10.1007/s11999-015-4220-2. Epub 2015 Feb 26.
2
Total knee replacement in young, active patients: long-term follow-up and functional outcome: a concise follow-up of a previous report.年轻、活跃患者的全膝关节置换术:长期随访和功能结果:先前报告的简明随访。
J Bone Joint Surg Am. 2014 Sep 17;96(18):e159. doi: 10.2106/JBJS.M.01259.
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Long-term comparison of fixed-bearing and mobile-bearing total knee replacements in patients younger than fifty-one years of age with osteoarthritis.51 岁以下骨关节炎患者中固定与活动平台全膝关节置换的长期比较。
J Bone Joint Surg Am. 2012 May 16;94(10):866-73. doi: 10.2106/JBJS.K.00884.
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The new Knee Society Knee Scoring System.新的膝关节协会膝关节评分系统。
Clin Orthop Relat Res. 2012 Jan;470(1):3-19. doi: 10.1007/s11999-011-2135-0.
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Prospective, randomized study between Insall-Burstein II and NexGen legacy with a minimum 9-year follow-up.Insall-Burstein II 与 NexGen legacy 之间的前瞻性、随机研究,随访时间至少 9 年。
J Arthroplasty. 2011 Dec;26(8):1232-8. doi: 10.1016/j.arth.2010.12.018. Epub 2011 Feb 4.
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What is the evidence for total knee arthroplasty in young patients?: a systematic review of the literature.年轻患者行全膝关节置换术的证据有哪些?:文献系统评价。
Clin Orthop Relat Res. 2011 Feb;469(2):574-83. doi: 10.1007/s11999-010-1536-9. Epub 2010 Sep 3.
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Younger age increases the risk of early prosthesis failure following primary total knee replacement for osteoarthritis. A follow-up study of 32,019 total knee replacements in the Finnish Arthroplasty Register.对于原发性骨关节炎行初次全膝关节置换术后,年龄较小会增加早期假体失败的风险。一项对芬兰关节置换登记处 32019 例全膝关节置换的随访研究。
Acta Orthop. 2010 Aug;81(4):413-9. doi: 10.3109/17453674.2010.501747.
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Wear and lysis is the problem in modular TKA in the young OA patient at 10 years.在年轻的骨关节炎患者中,10 年后,磨损和裂解是模块化 TKA 的问题。
Clin Orthop Relat Res. 2011 Jan;469(1):41-7. doi: 10.1007/s11999-010-1429-y.
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Surgery for knee osteoarthritis in younger patients.膝关节骨关节炎的年轻患者的手术治疗。
Acta Orthop. 2010 Apr;81(2):161-4. doi: 10.3109/17453670903413186.
10
Future young patient demand for primary and revision joint replacement: national projections from 2010 to 2030.未来年轻患者对初次及翻修关节置换的需求:2010年至2030年的全国预测
Clin Orthop Relat Res. 2009 Oct;467(10):2606-12. doi: 10.1007/s11999-009-0834-6. Epub 2009 Apr 10.