两种不同单桡骨假体全膝关节置换术的功能效果比较

A. Pourmoghaddam, M. Dettmer, Stefany J. K. Malanka, S. Kreuzer
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引用次数: 2

摘要

全膝关节置换术是晚期骨关节病伴严重功能受损患者的治疗方案。尽管TKA已使用多年,但一些患者报告对结果总体不满意。这可能是由于关节设计的复杂性。近年来,单半径膝关节假体的概念越来越受欢迎,因为许多研究讨论了与传统的多半径假体相比,这种设计的生物力学和临床益处。在这项研究中,我们报告了78例使用相对较新的单半径种植体Unity进行TKA治疗的患者的结果。结果显示,所有受试者术后1年的膝关节损伤和骨关节炎预后评分均有显著改善,结果均良好。症状、疼痛和ADL评分在评分为术前两倍的患者中表现出显著改善,而运动和生活质量评分的平均改善在评分为术前三倍的患者中表现出更大的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Functional Outcomes of Total Knee Arthroplasty Using Two Different Single Radius Implants
Total knee arthroplasty is used as the treatment plan for patients with end-stage osteoarthrosis associated with severely affected function. Although TKA has been used for many years, some patients have reported overall dissatisfaction regarding the outcome. This may be due to the complexity of the joint design. In recent years, the concept of single-radius knee prosthetics is gaining more popularity as many studies have discussed biomechanical and clinical benefits of such design compared to traditionally used multi-radius implants. In this study, we report the outcome of 78 patients who were treated by TKA utilizing a relatively new single-radius implant, Unity. Results showed that all subjects reported good outcomes as expressed by significant improvement in their Knee Injury and Osteoarthritis Outcome Scores at 1-year post-operative. The symptom, pain, and ADL subscores demonstrated significant improvement in patients with scores twice the pre-operative value, while the average improvement in sport and quality of life subscores showed even greater improvement with scores three times the pre-operative value.
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