Mallory T H, Smalley D, Danyi J
Clin Orthop Relat Res. 1982 Sep(169):197-201.
The results (average follow-up of 29 months) of the Townley anatomic knee replacement utilizing cruciate release with total tibial component variant is presented in 72 patients with 88 knee replacements. Postoperatively, 94% of the patients had mild or no pain, 99% were able to walk outdoors with minor or no restriction, 82% had flexion of greater than 80 degrees. Ninety-eight per cent of the patients were realigned within 10 degrees of varus/valgus postoperatively. Revision surgery was required in four cases for loosening and in one case for infection. Resurfacing total knee replacements, including the Townley type, appear to be approaching an acceptable level of efficiency and performance, but extensive long-term follow-up is essential for a definitive evaluation of this method.
本文呈现了72例患者88次膝关节置换手术采用Townley解剖型膝关节置换术（十字韧带松解加全胫骨部件变异型）的结果（平均随访29个月）。术后，94%的患者有轻度疼痛或无疼痛，99%的患者能够在户外行走，仅有轻微限制或无限制，82%的患者膝关节屈曲大于80度。98%的患者术后内翻/外翻角度矫正至10度以内。4例因假体松动、1例因感染需要进行翻修手术。包括Townley型在内的表面置换全膝关节置换术似乎已达到可接受的效率和性能水平，但要对该方法进行明确评估，长期广泛随访至关重要。
