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类风湿关节炎患者双侧髋关节和膝关节置换术

Bilateral replacement of the hip and knee in rheumatoid arthritis.

作者信息

McDonald I

出版信息

J Bone Joint Surg Br. 1982;64(4):465-8. doi: 10.1302/0301-620X.64B4.7096424.

DOI:10.1302/0301-620X.64B4.7096424
PMID:7096424
Abstract

Twenty-six patients with rheumatoid arthritis who had undergone bilateral replacement of the hip and knee were reviewed at a mean follow-up time of 51.6 months. A further operation was necessary in five patients due to complications of replacement of the knee, and seven patients still had significant pain in at least one replaced joint. There were no cases of infection due to operation. Seventeen of the patients still used walking aids, but one-third of these did so because of pain in joints that had not been replaced. Patients preferred painless total replacement of the hip to that of the knee.

摘要

对26例接受过双侧髋关节和膝关节置换术的类风湿性关节炎患者进行了回顾性研究,平均随访时间为51.6个月。5例患者因膝关节置换术并发症需要再次手术,7例患者至少有一个置换关节仍有明显疼痛。没有因手术导致感染的病例。17例患者仍使用助行器,但其中三分之一是因为未置换关节疼痛而使用。患者更喜欢无痛的全髋关节置换术而非全膝关节置换术。

相似文献

1
Bilateral replacement of the hip and knee in rheumatoid arthritis.类风湿关节炎患者双侧髋关节和膝关节置换术
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引用本文的文献

1
Staged replacement of both hips and both knees in patients with rheumatoid arthritis.类风湿关节炎患者的双侧髋关节和双侧膝关节分期置换。
BMC Musculoskelet Disord. 2023 Mar 28;24(1):231. doi: 10.1186/s12891-023-06282-4.
2
[Surgical planning and mid-term effectiveness of four major lower extremity arthroplasties in patients with rheumatoid arthritis].[类风湿关节炎患者下肢四大关节置换术的手术规划及中期疗效]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022 May 15;36(5):567-572. doi: 10.7507/1002-1892.202201041.
3
Evaluation of the rate of post-operative dislocation in patients with ipsilateral valgus knee deformity after primary total hip arthroplasty.
评估初次全髋关节置换术后伴同侧内翻膝畸形患者的术后脱位率。
Int Orthop. 2022 Jul;46(7):1507-1514. doi: 10.1007/s00264-022-05372-7. Epub 2022 Mar 20.
4
Painful Knee is not Uncommon after total Knee Arthroplasty and can be Treated by Arthroscopic Debridement.全膝关节置换术后出现疼痛性膝关节并不罕见,可通过关节镜清创术进行治疗。
Open Orthop J. 2017 Oct 31;11:1147-1153. doi: 10.2174/1874325001711011147. eCollection 2017.
5
Surgical treatment of the rheumatoid hip.类风湿性髋关节的外科治疗。
Ann Rheum Dis. 1990 Oct;49 Suppl 2(Suppl 2):858-62. doi: 10.1136/ard.49.suppl_2.858.