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类风湿性关节炎和膝关节病患者中PCA膝关节假体的结果比较

[Comparison of the results of PCA knee joint endoprosthesis in patients with rheumatoid arthritis and gonarthrosis].

作者信息

Dapić T, Pećina M

机构信息

Klinika za ortopediju Medicinskog fakulteta Sveucilista u Zagrebu i KBC Zagreb.

出版信息

Lijec Vjesn. 1998 May;120(5):117-20.

PMID:9748789
Abstract

Hundred and forty two porous-coated anatomic (PCA) total condylar arthroplasties were performed from 1985 to 1991 in hundred and twenty-four patients, ninety-seven women and twenty-seven men. The diagnosis was osteoarthritis in 96 cases and rheumatoid arthritis in 46 cases. The mean follow-up was 88 months, range from 51 to 137 months. All operated patients were evaluated based on survivorship of the endoprosthesis with the cumulative survivorship method according to Kaplan-Meier method. The end point was defined as endoprosthesis in situ. The overall cumulative survival rate for mean follow up time was 77%. The survival rate of the rheumatoid arthritis group was significantly higher (82.5%) than that of the osteoarthritis group (73.8%). 108 PCA arthroplastes were evaluated regarding Baltimore's score. The mean postoperative Baltimore's score was 68.7. In the rheumatoid arthritis group score was 74.8 and in the osteoarthritis group it was 65.9 but this difference is not statistically significant (p = 0.06).

摘要

1985年至1991年期间,对124例患者实施了142例多孔涂层解剖型(PCA)全髁关节置换术,其中女性97例,男性27例。诊断为骨关节炎96例,类风湿性关节炎46例。平均随访88个月,范围为51至137个月。所有手术患者均根据假体生存率采用Kaplan-Meier法的累积生存率方法进行评估。终点定义为假体在位。平均随访时间的总体累积生存率为77%。类风湿性关节炎组的生存率(82.5%)显著高于骨关节炎组(73.8%)。对108例PCA关节置换术进行了巴尔的摩评分评估。术后巴尔的摩评分平均为68.7分。类风湿性关节炎组评分为74.8分,骨关节炎组为65.9分,但这种差异无统计学意义(p = 0.06)。

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