Gossé F, Lazovic D, Peters G
Orthopädische Klinik, Medizinische Hochschule Hannover.
Orthopade. 1996 Apr;25(2):146-52.
Because of progressive development in the field of knee arthroplasty, currently there are fewer indications for primary knee arthrodesis. Primary knee arthrodesis is indicated in acute or chronic infections in which conservative treatment has failed, monoarticular arthritis in young patients if total knee replacement is not suitable, unstable knee joints caused by poliomyelitis or other neuromuscular disease, neuropathic joint disease, in salvage of the extremities with tumors of the distal femur and proximal tibia, and to obtain length in femur dysplasia. The operation technique with a modified Charnley compression fixator is described. Fifteen patients (100%) treated by this double-frame fixator have had a solid arthrodesis 13.6 weeks after surgery. We found 5 pin infections and had to reset 2 Steinmann pins.
由于膝关节置换领域的不断发展，目前初次膝关节融合术的适应证较少。初次膝关节融合术适用于保守治疗失败的急慢性感染、年轻患者中全膝关节置换不适用的单关节关节炎、由脊髓灰质炎或其他神经肌肉疾病引起的膝关节不稳定、神经性关节病、在挽救股骨远端和胫骨近端肿瘤的肢体时以及在股骨发育不良时获得肢体长度。描述了使用改良Charnley加压固定器的手术技术。使用这种双框架固定器治疗的15例患者（100%）在术后13.6周实现了牢固的关节融合。我们发现5例针道感染，不得不重新固定2根斯氏针。
