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[膝关节全膝关节置换或半膝关节置换的结果]

[Results in the implantation of total or partial prosthesis in the knee joint].

作者信息

Jonas A

出版信息

Chirurg. 1976 Oct;47(10):541-6.

PMID:991672
Abstract

A report of the results achieved by treating of corrosive diseases of knee joint by partial and total endoprosthesis. A total of 74 knee joints were operated on. Improvement of movement and stress capability was achieved in 93% of all cases. Complications are presented and discussed. Follow-up and summary of all cases reveals that the total endoprosthesis is increasingly indicated. The replacement of a sliding endoprosthesis by a total endoprosthesis has since become necessary in three cases and resulted in marked improvement of function. One patient is not free of complaints, and an exchange operation is indicated. The indications for implantation of a sliding endoprosthesis will in the future surely be much more closely drawn. Follow-up reveales that increasing reactive changes of the knee joint cause pain of increasing measure. An initially painless interval is followed by a period of increasing pain. Results of follow-uthesis may be extended. The continued pain that totally operated patients in part by the high-grade and progressive changes in the femoro-patellar joint.

摘要

关于采用部分和全膝关节置换术治疗膝关节腐蚀性疾病所取得结果的报告。共对74个膝关节进行了手术。所有病例中有93%的患者实现了活动能力和应力能力的改善。对并发症进行了介绍和讨论。对所有病例的随访和总结表明,全膝关节置换术的应用越来越多。此后有3例病例因全膝关节置换术取代滑动式假体而使功能显著改善。有1例患者仍有不适症状,需进行再次手术。未来,滑动式假体植入的指征肯定会更加严格。随访显示,膝关节反应性变化的增加会导致疼痛程度加剧。最初无痛的间歇期之后是疼痛加剧的时期。随访结果可能会有所扩展。部分接受全膝关节置换术的患者持续疼痛是由于股髌关节的高度和渐进性变化所致。

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