Hui F C, Fitzgerald R H
J Bone Joint Surg Am. 1980;62(4):513-9.
Analysis of an on-going prospective study of seventy-seven hinged total knee arthroplasties in sixty-seven patients revealed that most patients had improvement in function, although major complications occurred in eighteen knees (23.4 per cent. These complications included sepsis, loosening, patellar tendon rupture, peroneal palsy, and patellar subluxation. Eight of nine knees with deep sepsis required removal of the prosthesis, and three of sixteen knees with patellar pain required realignment of the quadriceps. When prosthetic failure occurred, salvage of a functional extremity was difficult. Hinged total arthroplasty is not without its problems, and a cautious approach to its use is indicated. Whenever possible, a moderately constrained replacement arthroplasty should be considered.
对67例患者的77例铰链式全膝关节置换术进行的一项正在进行的前瞻性研究分析显示，尽管18个膝关节（23.4%）发生了主要并发症，但大多数患者的功能有所改善。这些并发症包括败血症、松动、髌腱断裂、腓总神经麻痹和髌骨半脱位。9例深部败血症患者中有8例需要取出假体，16例髌骨疼痛患者中有3例需要重新调整股四头肌。当假体出现故障时，很难挽救一个功能正常的肢体。铰链式全关节置换术并非没有问题，因此使用时应谨慎。只要有可能，就应考虑使用中度限制性置换关节成形术。
