Hoogland T, Bosma G
Neth J Surg. 1981 Dec;33(5):237-42.
A follow-up study was performed on 20 total knee arthroplasties of the Attenborough type in 15 patients. The follow-up term was from one to three years. In 16 cases the knee joint degeneration was caused by rheumatoid arthritis and in four cases by osteoarthrosis. Knee flexion improved from an average preoperative value of 17 degrees to 84 degrees, to an average of 3 degrees to 92 degrees. In one case (5%) a deep infection developed. In another case there was roentgenographic and clinical evidence of prosthetic loosening. Four patients were left with significant patellofemoral pain. With the exception of the infected knee, all patients showed significant improvement in their walking distance. Subjectively, 67% of the patients were satisfied or delighted, 26% felt improved and 7% were dissatisfied. These preliminary results with the Attenborough total knee prosthesis are comparable with the results of other authors; the indications seem limited to patients with restricted physical activity and severe deformity of the knee.
对15例患者的20例Attenborough型全膝关节置换术进行了随访研究。随访期为1至3年。16例膝关节退变由类风湿性关节炎引起，4例由骨关节炎引起。膝关节屈曲度从术前平均17度改善到84度，伸展度从平均3度改善到92度。1例（5%）发生深部感染。另一例有假体松动的影像学和临床证据。4例患者仍有明显的髌股关节疼痛。除感染的膝关节外，所有患者的步行距离均有显著改善。主观上，67%的患者感到满意或欣喜，26%感觉有所改善，7%不满意。Attenborough全膝关节假体的这些初步结果与其他作者的结果相当；其适应证似乎仅限于身体活动受限和膝关节严重畸形的患者。
