Sasaki T, Matsuno S, Yagi T, Yasuda K, Tsuge H
Nihon Seikeigeka Gakkai Zasshi. 1986 Jan;60(1):35-49.
Complications of total knee replacement were studied by following up 218 cases operated in our clinic. The average follow-up time ranged from 24 months to 101 months (mean 44.3 months). The three most serious types of complication were: significant loosening in 8 knees; deep infection in 5 knees; and fracture in 7 knees. Patellar dislocation and extension mechanism rupture were found in 13 knees, restriction of ROM and instability in 20 knees, and other complications in 7 knees. The incidence of complications in the rheumatic group tended to be greater than that in the osteoarthritic group. The incidence of complications was significantly higher in the severely deteriorated group than in the not severely deteriorated group; and the incidence of complications in the group treated in combination with Anametric, Total Condylar and GUEPAR prosthesis was also significantly higher than in the group treated with the Kinematic Knee Prosthesis. Though 32 reoperations were performed in 23 knees, functional prognosis was not good in most cases.
通过对我院218例行全膝关节置换术的病例进行随访，研究了全膝关节置换术的并发症。平均随访时间为24个月至101个月（平均44.3个月）。三种最严重的并发症类型为：8例膝关节出现明显松动；5例膝关节深部感染；7例膝关节骨折。13例膝关节出现髌骨脱位和伸膝装置断裂，20例膝关节出现活动度受限和不稳定，7例膝关节出现其他并发症。风湿性关节炎组并发症的发生率往往高于骨关节炎组。病情严重恶化组的并发症发生率明显高于病情未严重恶化组；采用Anametric、Total Condylar和GUEPAR假体联合治疗组的并发症发生率也明显高于采用运动型膝关节假体治疗组。尽管对23例膝关节进行了32次再次手术，但大多数病例的功能预后不佳。
