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ATK 1与限制性聚乙烯对比后稳定型的对比研究。

COMPARATIVE STUDY BETWEEN ATK 1 WITH CONSTRICTED POLYETHYLENE VERSUS POSTERO-STABILIZED.

作者信息

Menegassi Fabiana Alves Costa, Blois Vasconcelos Pereira Guilherme, Alves Freitas Gabriel, Balieiro Rodrigo, Minamoto Sandra Tie Nishibe, Mozella Alan de Paula, Sattamini Pires E Albuquerque Rodrigo

机构信息

Instituto Nacional de Traumatologia e Ortopedia, Centro de Cirurgia do Joelho, Rio de Janeiro, RJ, Brazil.

Universidade Federal Fluminense, Niterói, RJ, Brazil.

出版信息

Acta Ortop Bras. 2025 Jun 2;33(2):e285178. doi: 10.1590/1413-785220253302e285178. eCollection 2025.

Abstract

OBJECTIVE

The objective of the article was to do a comparative study between Smith & Nephew ® prosthesis with constricted polyethylene against the standard in patients submitted to total knee arthroplasty surgery during a short-term follow-up. The aim was to analyze the survival of the related implants due to the range of movement and radiographic aspect.

METHODS

The sample was divided into two different groups: constricted polyethylene and standard polyethylene. A clinical analysis of the patients was carried out, and it was verified whether implant loosening had occurred.

RESULTS

This study evaluated 61 patients in a period of 2 years, 29 in the constricted polyethylene group. The pre-operative deformities were predominantly considered severe. In the postoperative, the tibial-femoral angle varied on average between 5 - 6° of valgus. The total range of movement in the post-operative was above 101° in both groups. One loosened implant in the constricted polyethylene group was observed.

CONCLUSION

The patients treated with constricted polyethylene had the same range of movement as the control group. There was no significant difference between both groups related to loosened implants in short-term follow-up.

摘要

目的

本文的目的是在短期随访期间,对接受全膝关节置换手术的患者中,将史密斯 & 奈普公司(Smith & Nephew®)的缩窄聚乙烯假体与标准假体进行对比研究。目的是根据活动范围和影像学表现分析相关植入物的存活率。

方法

样本分为两个不同组:缩窄聚乙烯组和标准聚乙烯组。对患者进行了临床分析,并核实是否发生了植入物松动。

结果

本研究在2年期间评估了61例患者,缩窄聚乙烯组29例。术前畸形主要被认为是严重的。术后,胫股角平均在5至6°外翻之间变化。两组术后的总活动范围均超过101°。在缩窄聚乙烯组观察到1例植入物松动。

结论

接受缩窄聚乙烯治疗的患者与对照组的活动范围相同。在短期随访中,两组在植入物松动方面无显著差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad80/12136615/bef5bcaad49e/1809-4406-aob-33-02-e285178-gf01.jpg

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