Wang W N
Arch Orthop Trauma Surg (1978). 1984;103(4):263-8. doi: 10.1007/BF00387332.
This article reports on 207 implantations of the Blauth hinged endoprosthesis of the knee joint. Follow-up was possible in 188 (91%) of the implanted cases. The results could be clearly evaluated with a comparison between the time before and after operation, by means of a four-point system. They were very good in 85% and good in 11% of the cases, with an average follow-up period of 33 months, maximum longer than 8 years. The rheumatoid patients showed somewhat better results than those with osteoarthrosis. One of the main features of the success of the implanation in our follow-up patients was the relief from pain. To date, neither aseptic loosening nor fracture of prosthesis has been observed. The follow-up results, based on clinical aspects and constructional characteristics of the model during an observation period as long as 8 years, were encouraging. There was convincing evidence that because of the efficiency and predominance of the Blauth endoprosthesis no modification of the model was needed for further implantations. Technical complications could be prevented by careful manipulation. However, infection was still the most serious complication, affecting predominantly rheumatoid arthritis patients [6]. It always caused troublesome problems in management and jeopardized the success of the arthroplasty. The patella syndrome was another postoperative problem, though it was less serious than infection.
本文报道了207例布劳思膝关节铰链式假体植入手术。在188例（91%）植入病例中实现了随访。通过四点系统对手术前后的时间进行比较，结果可以得到清晰评估。85%的病例结果非常好，11%的病例结果良好，平均随访期为33个月，最长超过8年。类风湿性关节炎患者的结果略优于骨关节炎患者。在我们的随访患者中，植入成功的主要特征之一是疼痛缓解。迄今为止，未观察到假体无菌性松动或骨折。基于长达8年观察期内的临床情况和模型结构特征的随访结果令人鼓舞。有令人信服的证据表明，由于布劳思假体的有效性和优势，进一步植入无需对模型进行修改。通过仔细操作可以预防技术并发症。然而，感染仍然是最严重的并发症，主要影响类风湿性关节炎患者[6]。它总是在治疗中引起棘手的问题，并危及关节置换术的成功。髌股关节综合征是另一个术后问题，不过它不如感染严重。
