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CKS膝关节假体:42例的生物力学及临床结果

CKS knee prosthesis: biomechanics and clinical results in 42 cases.

作者信息

Martucci E, Verni E, Del Prete G, Stulberg S D

机构信息

II Divisione Ortopedici Rizzoli, Bologna.

出版信息

Chir Organi Mov. 1996 Jul-Sep;81(3):247-56.

PMID:9035934
Abstract

From 1991 to 1993 a total of 42 CKS prostheses were implanted for the following reasons: osteoarthrosis (34 cases), rheumatoid arthritis (7 cases) tibial necrosis (1 case). At follow-up obtained after 17 to 41 months the results were: excellent or good: 41; the only poor result was probably related to excessive tension of the posterior cruciate ligament. 94% of the patients reported complete regression of pain, 85% was capable of going up and down stairs without support. Mean joint flexion was 105 degrees. Radiologically the anatomical axis of the knee had a mean valgus of anatomical axis of the knee had a mean valgus of 6 degrees. The prosthetic components were always cemented. The posterior cruciate ligament was removed in 7 knees, so that the prosthesis with "posterior stability" was used. The patella was never prosthetized. One patient complained of peri-patellar pain two months after surgery which then regressed completely.

摘要

1991年至1993年期间,共植入了42个CKS假体,原因如下:骨关节炎(34例)、类风湿性关节炎(7例)、胫骨坏死(1例)。在17至41个月的随访中,结果如下:优或良:41例;唯一的差结果可能与后交叉韧带张力过大有关。94%的患者报告疼痛完全消退,85%的患者能够无需支撑上下楼梯。平均关节屈曲度为105度。放射学检查显示,膝关节的解剖轴平均外翻6度。假体部件均采用骨水泥固定。7个膝关节的后交叉韧带被切除,因此使用了具有“后稳定”功能的假体。髌骨从未进行假体置换。一名患者在术后两个月抱怨髌周疼痛,随后疼痛完全消退。

相似文献

1
CKS knee prosthesis: biomechanics and clinical results in 42 cases.CKS膝关节假体:42例的生物力学及临床结果
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2
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