Johnson R, Walker C R, Harvey I A, Barry G K, Elloy M A
Orthopaedic Outpatient Department, Arrowe Park Hospital, Wirral, Merseyside, United Kingdom.
J Arthroplasty. 1993 Feb;8(1):27-32. doi: 10.1016/s0883-5403(06)80104-x.
Between February 1982 and December 1985, 133 knees in 107 patients were replaced with a cemented Johnson-Elloy (Accord) total knee arthroplasty. Thirty-five knees were lost during the follow-up period because of death in 29, revision in 3, infection in 1, and refusal of follow-up evaluation in 2. The results of the remaining 98 knees in 76 patients with a 5-8 year follow-up period are presented. The procedure was carried out in all cases presenting for surgery, irrespective of pathology and degree of deformity. The range of flexion achieved as a mean of 93.5 degrees in the osteoarthritic group and 100 degrees in the rheumatoid arthritic group. Eighty-seven percent of the osteoarthritic group and 95% of the rheumatoid arthritic group achieved between 10 degrees and 50 degrees of rotation at 90 degrees of flexion, which was maintained for the duration of the study. Adequate stability in both groups, valgus-varus and rotation in extension, and anteroposterior in flexion was achieved. Survivorship was 97.7% at 80 months.
1982年2月至1985年12月期间，对107例患者的133个膝关节进行了骨水泥型Johnson-Elloy（Accord）全膝关节置换术。随访期间有35个膝关节失访，原因包括29例患者死亡、3例翻修、1例感染和2例拒绝接受随访评估。本文报告了76例患者剩余98个膝关节5至8年的随访结果。所有接受手术的病例均实施了该手术，无论其病理情况和畸形程度如何。骨关节炎组平均屈曲范围为93.5度，类风湿关节炎组为100度。骨关节炎组87%的患者和类风湿关节炎组95%的患者在90度屈曲时实现了10度至50度的旋转，且在研究期间保持不变。两组均实现了足够的稳定性，包括外翻-内翻和伸展时的旋转以及屈曲时的前后稳定性。80个月时的假体生存率为97.7%。
