Blauth W, Bontemps G, Skripitz W
Arch Orthop Unfallchir. 1977 Jun 30;88(3):259-72. doi: 10.1007/BF00416616.
The introduction explains the general problems of knee joint replacement by artificial hinge-type prostheses, due to the reduction of the physiological "degrees of freedom" to only rotational movements around a horizontal axis. These problems are compared with the advantages of this type of prosthesis. Subsequently a description of some significant constructional characteristics of the hinge-type prosthesis, 13 given as there are placement of the joint, size of the contact surface, safety of the rotational device, design of the hinge-mechanism, the patella shield and the prosthetic stems as well as the breaking of dynamic forces, which all are subsequently compared in their values. Finally a hinge-type prosthesis is described with characteristics judged optimal according to our present scientific knowledge. We statistically evaluated our material of hinge-type prostheses with regard to final results and frequency of serious complications.
引言部分解释了使用人工铰链式假体进行膝关节置换所存在的一般问题，这是因为生理上的“自由度”减少到仅围绕水平轴的旋转运动。将这些问题与这种类型假体的优点进行了比较。随后描述了铰链式假体的一些重要结构特征，给出了13个方面，包括关节的位置、接触面的大小、旋转装置的安全性、铰链机构的设计、髌骨护罩和假体柄，以及动力的分解，随后对所有这些方面的值进行了比较。最后描述了一种根据我们目前的科学知识判断具有最佳特性的铰链式假体。我们对铰链式假体材料的最终结果和严重并发症的发生率进行了统计学评估。
