Hehl G, Kinzl L, Reichel R
Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Universität Ulm.
Chirurg. 1997 Nov;68(11):1119-25. doi: 10.1007/s001040050331.
The retrospective results of carbon prostheses for knee ligament reconstruction in 120 patients, as established by questionnaire, are reported at 10 +/- 2 years follow-up. Eighty patients could also be reviewed clinically. Some 60% of the patients showed good subjective function at reduced activity level. Complications were seen in 72.5% of the patients with rupture of the carbon prosthesis and in 68% of those with synovitis. X-ray showed osteoarthritis in up to 59% of the patients. Carbon prostheses for collateral ligament reconstruction (85% medial, 5.8% lateral) were successful in 75% of cases. Activity and time seem to be less responsible for failure of the carbon prostheses than the features of growing in. Destruction of the knee joint over time is due to reactive synovitis and catabolic enzyme reaction and correlates with joint effusion and pain. If these problems appear, (arthroscopic) resection of the synovia is indicated to interrupt the circulus vitiosus.
通过问卷调查得出120例患者膝关节韧带重建使用碳质假体的回顾性结果，随访时间为10±2年。其中80例患者还接受了临床检查。约60%的患者在活动水平降低时主观功能良好。72.5%的碳质假体破裂患者和68%的滑膜炎患者出现了并发症。X线显示高达59%的患者患有骨关节炎。用于侧副韧带重建的碳质假体（85%为内侧，5.8%为外侧）在75%的病例中取得成功。与植入生长特征相比，活动和时间对碳质假体失败的影响似乎较小。随着时间推移，膝关节的破坏是由于反应性滑膜炎和分解代谢酶反应，且与关节积液和疼痛相关。如果出现这些问题，建议（通过关节镜）切除滑膜以中断恶性循环。
