Head W C, Paradies L H
J Bone Joint Surg Am. 1977 Apr;59(3):352-4.
A total of thirteen surgical procedures were performed on eight patients, all of whom had a history of rheumatoid arthritis. Five patients had bilateral hip and knee replacements and three patients had ipsilateral hip and knee replacements for a total of twenty-six joint replacements. Ambulatory status for all patients was significantly improved and all patients subjectively reported a great reduction in pain postoperatively. Complications included two transient peroneal-nerve palsies in the same patient from which she recovered spontaneously, and one questionable pulmonary embolus which resolved with heparin therapy. The relative advantages of this type of procedure and the indications for and against surgery are discussed.
对8名患者共实施了13次外科手术，所有患者均有类风湿性关节炎病史。5名患者进行了双侧髋关节和膝关节置换，3名患者进行了同侧髋关节和膝关节置换，总共进行了26次关节置换。所有患者的门诊状态均有显著改善，所有患者均主观报告术后疼痛大幅减轻。并发症包括同一患者出现的2次短暂性腓总神经麻痹，患者自行康复，以及1次可疑的肺栓塞，经肝素治疗后得到缓解。本文讨论了此类手术的相对优势以及手术的适应证和禁忌证。
