Grimer R J, Karpinski M R, Edwards A N
J Bone Joint Surg Br. 1984 Jan;66(1):55-62. doi: 10.1302/0301-620X.66B1.6693477.
One hundred and three sequential Stanmore knee replacements were reviewed retrospectively on two occasions with a maximal follow-up period of nine years three months. This knee prosthesis, which is hinged, was successful in alleviating pain, stabilising an unstable knee and modestly increasing the arc of flexion. Walking capacity was increased and flexion contractures were reduced. There were seven cases of infection and four of fracture around the prosthesis. All these proved difficult to treat and two knees with both fracture and infection needed amputation. Eight knees were revised for aseptic loosening and a further 14 were found to have radiological signs of loosening. The results have been analysed by the methods advocated by Tew and Waugh and give a cumulative success rate of 80 per cent at seven years, provided success is judged solely by whether the prosthesis is still in situ. The role of the Stanmore knee as a primary arthroplasty is discussed.
对103例连续进行的斯坦莫尔膝关节置换术进行了两次回顾性研究，最长随访期为9年3个月。这种铰链式膝关节假体在缓解疼痛、稳定不稳定膝关节以及适度增加屈曲弧度方面取得了成功。步行能力增强，屈曲挛缩减少。假体周围有7例感染和4例骨折。所有这些都证明难以治疗，2例同时伴有骨折和感染的膝关节需要截肢。8例因无菌性松动进行了翻修，另有14例发现有松动的放射学迹象。采用蒂尤和沃提倡的方法对结果进行了分析，若仅以假体是否仍在位判断成功与否，7年时的累积成功率为80%。文中讨论了斯坦莫尔膝关节作为初次关节成形术的作用。
