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全膝关节置换失败后的膝关节融合术。

Knee arthrodesis for failed total knee arthroplasty.

作者信息

Behr J T, Chmell S J, Schwartz C M

出版信息

Arch Surg. 1985 Mar;120(3):350-4. doi: 10.1001/archsurg.1985.01390270088015.

DOI:10.1001/archsurg.1985.01390270088015
PMID:3970670
Abstract

The use of arthrodesis to salvage failed total knee arthroplasty is reviewed in nine patients. Prosthetic failure was due to infection in six cases, aseptic loosening in two cases, and instability in one case. The techniques of arthrodesis included six Hoffman external fixators, two fluted intramedullary rods (3M-Orthopedic Products Division, St Paul), and one pulsing electromagnetic field stimulator. Arthrodesis was successful in eight of nine patients, averaging 5.4 months to union. All eight patients resumed a painfree functional level of activity. Meticulous surgical technique and appropriate method of arthrodesis are emphasized.

摘要

对9例采用关节融合术挽救失败的全膝关节置换术的患者进行了回顾性研究。假体失败的原因包括6例感染、2例无菌性松动和1例不稳定。关节融合术的技术包括6例使用霍夫曼外固定器、2例使用带槽髓内棒(3M骨科产品部,圣保罗)和1例使用脉冲电磁场刺激器。9例患者中有8例关节融合成功,平均融合时间为5.4个月。所有8例患者均恢复到无痛的功能活动水平。强调了细致的手术技术和合适的关节融合方法。

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1
Knee arthrodesis for failed total knee arthroplasty.全膝关节置换失败后的膝关节融合术。
Arch Surg. 1985 Mar;120(3):350-4. doi: 10.1001/archsurg.1985.01390270088015.
2
The use of pulsing electromagnetic fields to achieve arthrodesis of the knee following failed total knee arthroplasty. A preliminary report.应用脉冲电磁场实现全膝关节置换失败后膝关节融合的初步报告。
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Intramedullary fixation for arthrodesis of the knee after infected total knee arthroplasty.感染性全膝关节置换术后膝关节融合的髓内固定
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