Cartier P, Mammeri M, Villers P
Int Orthop. 1982;6(1):35-44.
Ninety-five modular total knee replacements, 54 of them unicompartmental, have been reviewed. The average follow-up was three years. The major indication for operation was pain. A precise reoperative radiographic evaluation and a technique for a positioning the components are described. This had led to a significant improvement in the clinical and radiographic results in 67 out of 95 knees which were operated on. The modifications concern the orientation of the tibial cut, the placing of the femoral components and the correction of axial deviation. The main causes of the 13% of failures in our series were either errors in positioning the components or a preoperative diagnosis of rheumatoid arthritis. Unicompartmental replacement gave similar results in both valgus and varus knees, and the morbidity was lower than in the biocompartmental replacements. The best results were obtained in osteoarthritic knees in elderly patients and in posttraumatic osteoarthritis.
对95例模块化全膝关节置换术进行了回顾，其中54例为单髁置换。平均随访时间为3年。手术的主要指征是疼痛。描述了精确的再次手术影像学评估和组件定位技术。这使得接受手术的95例膝关节中的67例在临床和影像学结果上有了显著改善。这些改进涉及胫骨截骨的方向、股骨组件的放置以及轴向偏差的矫正。我们系列中13%失败的主要原因要么是组件定位错误，要么是术前诊断为类风湿性关节炎。单髁置换在膝外翻和膝内翻膝关节中取得了相似的结果，并且发病率低于双髁置换。在老年骨关节炎膝关节和创伤后骨关节炎中取得了最佳结果。
