Kershaw C J, Themen A E
Royal Berkshire Hospital, Reading, England.
J Bone Joint Surg Br. 1988 Jan;70(1):89-93. doi: 10.1302/0301-620X.70B1.3339067.
The results of 132 Attenborough total knee replacements after a follow-up period of from four to 10 years are presented. Long-term relief of pain and improvement in stability and walking distance were maintained in over two-thirds. The cumulative survivorship with the prosthesis in situ, little or no pain and no radiological loosening was 65% at six years. Problems with wound healing were common, and there was a complication rate of 20% in primary replacements, including a deep-infection rate of 3.5%. Almost 20% of the prostheses needed revision because of aseptic loosening, and there is evidence of radiological and clinical loosening in a further 7.5%.
本文呈现了132例Attenborough全膝关节置换术后4至10年的随访结果。超过三分之二的患者长期疼痛缓解,稳定性和步行距离得到改善。假体在位、几乎无疼痛且无影像学松动的累积生存率在6年时为65%。伤口愈合问题很常见,初次置换的并发症发生率为20%,其中深部感染率为3.5%。近20%的假体因无菌性松动需要翻修,另有7.5%有影像学和临床松动的证据。