Yoshino S
Orthopedics. 1985 Jan;8(1):57-9. doi: 10.3928/0147-7447-19850101-09.
Multiple total joint replacements were performed in 51 handicapped rheumatoid patients. Three joints were replaced in 23 patients, four joints in 25 patients, five joints in one patient, and six joints in two patients, for a total of 186 replacements of elbow, hip, knee and ankle joints. By the time of followup, seven of the patients had died due to unrelated causes. Evaluation of the walking ability in the remaining 43 patients revealed that 20 out of 22 nonambulatory patients had become able to walk indoors and outdoors, and 21 patients who had been able to walk only indoors became able to walk outdoors as well. Major complications occurred in 11 patients: femoral neck fracture in three, supracondylar fracture of the femur in three, cervical myelopathy in two, and loosening of the femoral prosthesis in two patients. The factors responsible for poor results in two patients were cervical problems and loss of motivation.
对51例患类风湿性关节炎的残疾患者实施了多关节置换手术。23例患者置换了3个关节，25例患者置换了4个关节，1例患者置换了5个关节，2例患者置换了6个关节，总共对186个肘、髋、膝和踝关节进行了置换。到随访时，7例患者因无关原因死亡。对其余43例患者的行走能力评估显示，22例原本不能行走的患者中有20例已能够在室内外行走，21例原本只能在室内行走的患者也能够在室外行走。11例患者出现了严重并发症：3例发生股骨颈骨折，3例发生股骨髁上骨折，2例发生颈椎脊髓病，2例患者出现股骨假体松动。导致2例患者预后不佳的因素是颈椎问题和动力丧失。
