Hoshino A, Yamamoto H, Furuya K
Department of Orthopaedic Surgery, Kawaguchi Kohgyo General Hospital, Saitama, Japan.
Nihon Seikeigeka Gakkai Zasshi. 1995 Apr;69(4):147-55.
Eighty-five cemented total knee arthroplasties were followed for five to fourteen years (mean 7.8 years). The clinical evaluation was excellent or good in 85% of this series. However, a complication developed in 15 knees (17.6%), and two thirds of these complications were found in the patello-femoral joint. One further case developed an infection (1.2%), and four others (4.7%) developed an aseptic loosening. Over all, 8 cases (9.4%) required revision surgery. Asymptomatic wear was seen to progress in some implants involving thin polyethylene, although their clinical results were rated as excellent. The outcome of the cemented knee arthroplasties was considered as acceptable at present, but improved surgical techniques and measures against polyethylene wear are required for future improvement in this surgery.
对85例骨水泥型全膝关节置换术患者进行了5至14年的随访（平均7.8年）。该系列中85%的患者临床评估为优或良。然而，15例膝关节（17.6%）出现了并发症，其中三分之二的并发症发生在髌股关节。另有1例发生感染（1.2%），4例（4.7%）发生无菌性松动。总体而言，8例（9.4%）需要翻修手术。在一些使用薄聚乙烯的植入物中，观察到无症状磨损有所进展，尽管其临床结果被评为优。目前认为骨水泥型膝关节置换术的结果是可以接受的，但未来要改进该手术，需要改进手术技术并采取措施防止聚乙烯磨损。
