Shoji H, Wolf A, Packard S, Yoshino S
Department of Orthopaedic Surgery, Loma Linda University, CA.
Clin Orthop Relat Res. 1994 Aug(305):218-22.
A comparative study of posterior cruciate ligament retention and excision was conducted in patients who underwent bilateral total knee arthroplasty using the total condylar modifier prosthesis. The posterior cruciate ligament was excised in one knee and was retained in the other knee in 28 patients. Postoperative results were assessed using the Hospital for Special Surgery Knee Evaluation Score. In addition, stair activity was tested to determine whether there was preferential dependence on one of the two knees. There was no significant difference between the posterior cruciate ligament retained or excised knees in terms of postoperative Hospital for Special Surgery Knee Evaluation Score. Patients who ascended and descended stairs with one leg at a time tended to prefer the posterior cruciate ligament retention side. Those who could use each leg in sequence to go up and down stairs, however, did not show preferential dependence on either knee.
对使用全髁改良假体进行双侧全膝关节置换术的患者进行了后交叉韧带保留与切除的比较研究。在28例患者中，一侧膝关节切除后交叉韧带，另一侧膝关节保留后交叉韧带。使用特种外科医院膝关节评估评分对术后结果进行评估。此外，测试了上下楼梯活动，以确定是否对双膝中的某一侧存在优先依赖。保留或切除后交叉韧带的膝关节在术后特种外科医院膝关节评估评分方面没有显著差异。一次用一条腿上下楼梯的患者倾向于选择保留后交叉韧带的一侧。然而，那些可以依次使用每条腿上下楼梯的患者，并未表现出对任何一侧膝关节的优先依赖。
