Blauth W, Skripitz W, Bontemps G
Z Orthop Ihre Grenzgeb. 1977 Oct;115(5):665-78.
Survey of methods. In first part new classification of prostheses. Discussion of some biomechanical problems, mainly on hinge-prosthesis which can only be compromises for various periods. Replacement to be considered only for elderly or very old patients, when conservative treatment offers no chances, other operations are not promising or have failed, arthrodeses cannot be done and pain and loss of function are severe. Indications for hinge- and slide-prostheses are given. In the second part two statistics of results from the literature are discussed and experience with 130 own cases using own model is described. Infection occurred in 3 cases where removal of prosthesis had to be done. Examples of the need for reversal operations are given.
方法综述。第一部分为假体的新分类。讨论了一些生物力学问题,主要围绕只能在不同时期作为折衷方案的铰链式假体。仅在保守治疗没有机会、其他手术没有希望或已失败、无法进行关节融合术且疼痛和功能丧失严重的老年或高龄患者中考虑进行置换。给出了铰链式和滑动式假体的适应症。第二部分讨论了文献中的两项结果统计,并描述了使用自己的模型对130例自身病例的经验。有3例发生感染,不得不取出假体。给出了需要进行翻修手术的例子。