Puhl W, Trepte C T
Orthopädische Klinik und Querschnittgelähmtenzentrum im RKU, Forschungs- und Lehrbereich, Universität Ulm.
Z Orthop Ihre Grenzgeb. 1988 May-Jun;126(3):361-8. doi: 10.1055/s-2008-1040215.
An analysis of 93 unconstrained totalcondylar knee prostheses showed good to excellent results. There was no significant difference between cemented and uncemented knee replacement. The advantages of unlinked totalcondylar knees are: --the minor bone resection, which enables a sure fixation of a new prosthesis or an arthrodesis in case of loosening, --the stabilisation by the natural ligaments leading to a reduced force transmission in comparison to linked prostheses. If knee replacement is necessary the total condylar surface replacement should be the knee endoprosthesis of first choice.
对93例非限制型全髁膝关节假体的分析显示结果良好至优秀。骨水泥固定型和非骨水泥固定型膝关节置换之间无显著差异。非铰链式全髁膝关节的优点有：——骨切除量少，在假体松动时能确保新假体的牢固固定或关节融合；——与铰链式假体相比，由天然韧带实现稳定，从而减少力的传递。如果有必要进行膝关节置换，全髁表面置换应是首选的膝关节假体。
