Gómez-Vallejo J, Albareda-Albareda J, Seral-García B, Blanco-Rubio N, Ranera-García M, Ezquerra-Herrando L
Departamento de Cirugía Ortopédica y Traumatología del Hospital Clínico Universitario Lozano Blesa. Zaragoza, España.
Departamento de Cirugía Ortopédica y Traumatología del Hospital Obispo Polanco. Teruel, España.
Acta Ortop Mex. 2017 Sep-Oct;31(5):222-227.
The reproduction of the anatomical joint line could be a good index to obtain good results in knee prosthesis surgery, although in revision surgery has not been enough studied. A search for a simple and reproducible method is needed to review these results.
A retrospective study was conducted between January 2000 and December 2013. A total of 97 total revision knee arthroplasties were implanted. Finally, the study group consisted of 67 patients. To perform our study, the joint line was evaluated according to the method described by Hofmann A. The evaluation of the clinical results included the following main variables: Flexion, extension, range of motion, WOMAC, SF-36, KSS (Knee Society Score) and functional KSS. The survival of the arthroplasties was studied. (p = 0.05).
The variables of flexion, extension and range of postoperative movement are statistically correlated with this measure. The KSS was statistically related in its joint aspect with the restoration of the joint line. For the other scales, SF-36 and WOMAC, the figures were higher but did not correlate with the accepted p.
In view of these results, we can say that the restoration of the anatomical joint line improves the clinical results of revision total knee arthroplasty.
尽管在翻修手术中对其研究不足，但解剖学关节线的重建可能是在膝关节置换手术中取得良好效果的一个良好指标。需要寻找一种简单且可重复的方法来评估这些结果。
进行了一项回顾性研究，时间跨度为2000年1月至2013年12月。共植入了97例全膝关节翻修假体。最终，研究组由67例患者组成。为开展我们的研究，根据霍夫曼A所描述的方法对关节线进行评估。临床结果评估包括以下主要变量：屈曲、伸展、活动范围、WOMAC、SF - 36、膝关节协会评分（KSS）和功能KSS。对关节置换的生存率进行了研究（p = 0.05）。
术后屈曲、伸展和活动范围变量与该测量值在统计学上相关。KSS在其关节方面与关节线的恢复在统计学上相关。对于其他量表，SF - 36和WOMAC，数值较高，但与公认的p值不相关。
鉴于这些结果，我们可以说解剖学关节线的重建改善了全膝关节翻修术的临床结果。
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