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全髁膝关节假体的结果。

Results of the total-condylar knee prosthesis.

作者信息

Aglietti P, Rinonapoli E

出版信息

Ital J Orthop Traumatol. 1981 Apr;7(1):17-29.

PMID:7327926
Abstract

The Total-Condylar knee prosthesis is a non-hinged, semi-restricted prosthesis with partial intrinsic stability, incorporating a prosthetic surface covering the patella. The surgical technique involved includes release of the contracted soft tissues, so as to obtain symmetry and balance of the ligaments before the bone is cut. These bone cuts are made at a right angle to one another and are standardised. The cases presented comprise forty-eight knees (in forty-one patients), of whom thirty-eight were affected by arthrosis and ten by rheumatoid arthritis. The mean age of the patients was sixty-five years. They were examined not less than twenty-four months nor more than seventy months after operation. This was a prospective survey and the cases were consecutive. Excellent or good results were obtained in 89.5 per cent of cases. Only one case had to undergo re-operation, due to loosening of the tibial component, not to deep infection. The results were permanent over the review period, and the quality was as good as in prostheses of the hip.

摘要

全髁膝关节假体是一种无铰链、半限制性假体,具有部分固有稳定性,带有覆盖髌骨的假体表面。所涉及的手术技术包括松解挛缩的软组织,以便在截骨前实现韧带的对称和平衡。这些截骨相互成直角且标准化。所呈现的病例包括48个膝关节(41名患者),其中38个受骨关节炎影响,10个受类风湿性关节炎影响。患者的平均年龄为65岁。术后对他们进行了不少于24个月且不超过70个月的检查。这是一项前瞻性调查,病例为连续病例。89.5%的病例获得了优良结果。只有1例因胫骨部件松动而非深部感染不得不接受再次手术。在审查期间结果是持久的,质量与髋关节假体一样好。

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