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双髁膝关节置换术——Genesis假体的中期评估

[Bicondylar knee replacement--an intermediate term evaluation of the Genesis prosthesis].

作者信息

Pellengahr C, Refior H J, Qvick M, Jansson V

机构信息

Orthopädische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, Klinikum Grosshadern München.

出版信息

Z Orthop Ihre Grenzgeb. 1998 Jul-Aug;136(4):343-9. doi: 10.1055/s-2008-1053748.

Abstract

65 knee arthroplasties in 60 patients (5 x both sided, 49 x female, 11 x male) with a Genesis Total Knee System (54 x cemented, 6 x cementless, 4 x tibial cemented/femoral cementless, 1 x tibial cementless/femoral cemented) were evaluated according to the Knee Society Score and the HSS Score with a medium follow up of 4 years und 5 months (3 years and 4 months to 5 years and 11 months). In 48 patients the diagnosis was gonarthrosis, in 17 patients it was rheumatoid arthritis. The medium postoperative Knee Score was 80.9 points, the Function Score was 73.7 points. The HSS Score obtained 80.9 points. 87.7% of the patients were excellent or good. The Genesis Total Knee arthroplasty has proved to be reliable for osteoarthritis and rheumatoid arthritis in medium term.

摘要

对60例患者(5例双侧,49例女性,11例男性)的65例膝关节置换术进行评估,这些手术采用Genesis全膝关节系统(54例骨水泥固定,6例非骨水泥固定,4例胫骨骨水泥固定/股骨非骨水泥固定,1例胫骨非骨水泥固定/股骨骨水泥固定),平均随访4年零5个月(3年4个月至5年11个月)。48例患者诊断为膝关节炎,17例患者诊断为类风湿关节炎。术后平均膝关节评分为80.9分,功能评分为73.7分。HSS评分为80.9分。87.7%的患者为优或良。Genesis全膝关节置换术已被证明在中期对骨关节炎和类风湿关节炎是可靠的。

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