Kritsikis N, Courvoisier E, Manouar M E
Schweiz Med Wochenschr. 1977 May 14;107(19):666-74.
In spite of continuing progress, total knee arthroplasty still presents many problems. In this clinic 25 arthroplasties have been performed in 22 patients over the last 4 1/2 years. Guépar hinges were used in 21 knees and Marmor modular knees in 4. Acrylic cement was used in all cases. The mean age of the patients was 69 years. 13 had osteoarthritis, 5 rheumatoid disease and 4 other conditions. There were no serious general complications or infections in the early postoperative period. The commonest local complication was malalignment of the patella (17 cases); 2 of these were complete but reducible dislocations. In only 3 knees did patellar subluxation produce sufficient pain to spoil an otherwise good result. Prostheses have loosened in 2 knees, one of which has been fused with success. Striking features of the early results have been reliable pain relief, improvement of joint movement, and generally an increased walking capacity. In spite of its present problems, arthroplasty remains the procedure of choice in knees where the amount of articular damage contraindicates conservative surgery.
尽管不断取得进展，但全膝关节置换术仍存在许多问题。在本诊所，过去4年半里，22名患者接受了25次关节置换手术。21例膝关节使用了Guépar铰链，4例使用了Marmor模块化膝关节。所有病例均使用了骨水泥。患者的平均年龄为69岁。13例患有骨关节炎，5例患有类风湿性疾病，4例患有其他病症。术后早期无严重的全身并发症或感染。最常见的局部并发症是髌骨排列不齐（17例）；其中2例为完全性但可复位的脱位。只有3例膝关节的髌骨半脱位产生了足以破坏原本良好效果的疼痛。有2例膝关节假体出现松动，其中1例已成功融合。早期结果的显著特点是可靠的疼痛缓解、关节活动改善，以及步行能力普遍增强。尽管目前存在问题，但对于关节损伤程度不适合保守手术的膝关节，关节置换术仍是首选治疗方法。
