Vasconcelos José Wanderley, Leite Leopoldina Milanez da Silva, Sousa José Carlos Amaral, Sousa José Orleans Mendes de, Santos E Santos Márcio Fernandes
PhD in Surgery; Associate Professor, Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
PhD in Clinical and Experimental Physiopathology; Assistant Professor, UFMA, São Luís, MA, Brazil.
Rev Bras Ortop. 2013 Aug 13;48(3):251-256. doi: 10.1016/j.rboe.2012.02.002. eCollection 2013 May-Jun.
To mid-term evaluate patients who were submitted to total knee arthroplasty without patellar resurfacing.
It was realized a retrospective cross-sectional study of patients who were submitted to total knee arthroplasty without patellar resurfacing. In all patients clinical examination was done based on the protocol of the Knee Society Scoring System, which assessed pain, range of motion, stability, contraction, knee alignment and function, and radiological evaluation.
A total of 36 patients were evaluated. Of these, 07 were operated only on left knee, 12 only on right knee and 17 were operated bilaterally, totaling 53 knees. Ages ranged from 26 to 84 years. Of the 53 knees evaluated, 33 (62.26%) had no pain. The maximum flexion range of motion averaged 104.7°. No knee had difficulty in active extension. As to the alignment for anatomical axis twelve knees (22.64%) showed deviation between 0° and 4° varus. Thirty-nine (75.49%) knees showed pace without restriction and the femorotibial angle ranged between 3° varus and 13° valgus with an average of 5° valgus. The patellar index ranged from 0.2 to 1.1.
Total knee arthroplasty whitout patellar resurfacing provides good results in mid-term evaluation.
对接受全膝关节置换术但未进行髌骨表面置换的患者进行中期评估。
对接受全膝关节置换术但未进行髌骨表面置换的患者进行回顾性横断面研究。所有患者均根据膝关节协会评分系统方案进行临床检查，该方案评估疼痛、活动范围、稳定性、收缩、膝关节对线和功能以及影像学评估。
共评估了36例患者。其中，7例仅接受左膝手术，12例仅接受右膝手术，17例接受双侧手术，共计膝关节53个。年龄范围为26至84岁。在评估的53个膝关节中，33个（62.26%）无疼痛。最大屈曲活动范围平均为104.7°。没有膝关节主动伸展困难。关于解剖轴对线，12个膝关节（22.64%）显示内翻0°至4°之间的偏差。39个（7故，33个（62.26%）无疼痛。最大屈曲活动范围平均为104.7°。没有膝关节主动伸展困难。关于解剖轴对线，12个膝关节（22.64%）显示内翻0°至4°之间的偏差。39个（75.49%）膝关节显示步态无受限，股胫角在3°内翻至13°外翻之间，平均为5°外翻。髌骨指数范围为0.2至1.1。
未进行髌骨表面置换的全膝关节置换术在中期评估中提供了良好的结果。 5.49%）膝关节显示步态无受限，股胫角在3°内翻至13°外翻之间，平均为5°外翻。髌骨指数范围为0.2至1.1。
未进行髌骨表面置换的全膝关节置换术在中期评估中提供了良好的结果。
