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马莫尔模块化膝关节平台定位与55例类风湿性关节炎膝关节假体生存率

Marmor modular knee plateau positioning and prosthesis survival in 55 knees with rheumatoid arthritis.

作者信息

Kolstad K, Sahlstedt B, Bergström R

机构信息

Department of Orthopedics, University Hospital, Uppsala, Sweden.

出版信息

Arch Orthop Trauma Surg. 1996;115(1):17-21. doi: 10.1007/BF00453211.

Abstract

In a long-term follow-up of 55 Marmor knee arthroplasties in patients with rheumatoid arthritis operated on between 1975 and 1977, the radiologically visible indicator wire was used to identify the position of the tibial components. The survival rate of the prostheses at 15 years was 0.71, and the revisions were evenly distributed over the observation period of 16 years. No significant relationship was found between the slope of the tibial components postoperatively and the survival of the prostheses. However, a postoperative valgus angle of the leg of 3 deg or more tended to increase the risk of revision (RH = 2.7, 95% CL = 0.8-8.9). The patient's sex, affected side or weight did not influence prosthesis survival.

摘要

在对1975年至1977年间接受手术的55例类风湿性关节炎患者的马尔莫尔膝关节置换术进行的长期随访中,使用放射学可见的指示线来确定胫骨组件的位置。假体在15年时的生存率为0.71,翻修手术在16年的观察期内均匀分布。术后胫骨组件的倾斜度与假体生存率之间未发现显著关系。然而,术后腿部外翻角度为3度或更大时,翻修风险有增加趋势(相对危险度=2.7,95%可信区间=0.8-8.9)。患者的性别、患侧或体重均不影响假体生存率。

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