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[不同膝关节假体(GSB型和ES型)髌股关节置换的结果]

[Results in patello-femoral joint replacement in various knee endoprostheses (Type GSB and ES)].

作者信息

Wülker N, Böhm S

机构信息

Orthopädische Klinik der Medizinischen Hochschule Hannover.

出版信息

Z Orthop Ihre Grenzgeb. 1994 Sep-Oct;132(5):412-9. doi: 10.1055/s-2008-1039846.

Abstract

105 patients with 137 total knee replacements (105 model GSB, 32 model ES) were reexamined 4.3 years (2 to 9.7 years) postoperatively. 63.9 percent suffered from chronic polyarthritis. The clinical result (Insall 100-point score) averaged 73.6 points (78.2 ES-, 71.7 GSB II-knees). In 28.6 percent of the GSB- and 3.1 percent of the ES-knees osteolyses of the patella were apparent. Subluxation or complete dislocation of the patella was present in 85.7 percent of the GSB- and 25 percent of the ES-knees. The result was dependent on the preoperative knee axis, patellar height and the implant site of the tibial component. Revisions with complete removal of the inlay were most successful.

摘要

105例行137次全膝关节置换术的患者(105例GSB型,32例ES型)在术后4.3年(2至9.7年)接受复查。63.9%的患者患有慢性多关节炎。临床结果(Insall 100分评分)平均为73.6分(ES型为78.2分,GSB II型膝关节为71.7分)。28.6%的GSB型膝关节和3.1%的ES型膝关节出现髌骨骨质溶解。85.7%的GSB型膝关节和25%的ES型膝关节存在髌骨半脱位或完全脱位。结果取决于术前膝关节轴线、髌骨高度和胫骨部件的植入部位。完全移除嵌体的翻修最为成功。

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