Gill G S, Chan K C, Mills D M
Methodist Hospital, Lubbock, Texas, USA.
J Arthroplasty. 1997 Jan;12(1):49-54. doi: 10.1016/s0883-5403(97)90046-2.
Seventy-two cemented total knee arthroplasties were performed on 52 patients who were 55 years old or younger. Results on 68 knees in 50 patients with an average follow-up period of 9.92 years are reported. The average age of the patients was 50.7 years (range, 30-55) at the time of surgery. The diagnosis was osteoarthritis in 37 knees, rheumatoid arthritis in 29 knees, and ankylosing spondylitis in 2 knees. The average preoperative Knee Society knee score was 23 and the average follow-up knee score was 97. All knees were rated as good or excellent for knee score. The average latest function score was 75 (preoperative, 36). Both knees in one patient required revision for loose components. This review demonstrates that cemented total knee arthroplasty in younger patients with osteoarthritis and rheumatoid arthritis can attain results comparable to the excellent results obtained in the older age groups.
对52例年龄在55岁及以下的患者实施了72例骨水泥型全膝关节置换术。报告了50例患者68个膝关节的结果，平均随访时间为9.92年。手术时患者的平均年龄为50.7岁（范围30 - 55岁）。诊断为骨关节炎37个膝关节，类风湿关节炎29个膝关节，强直性脊柱炎2个膝关节。术前膝关节协会膝关节平均评分为23分，随访时平均膝关节评分为97分。所有膝关节的膝关节评分均为良好或优秀。最新功能平均评分为75分（术前为36分）。一名患者的双膝关节因假体松动均需翻修。本综述表明，年轻的骨关节炎和类风湿关节炎患者行骨水泥型全膝关节置换术可获得与老年组优异结果相当的效果。
