Cemented long-stem revision total knee arthroplasty

被引:96
作者
Whaley, AL [1 ]
Trousdale, RT [1 ]
Rand, JA [1 ]
Hanssen, AD [1 ]
机构
[1] Mayo Clin & Mayo Fdn, Dept Orthoped, Rochester, MN 55905 USA
关键词
long-stem; revision total knee arthroplasty;
D O I
10.1016/S0883-5403(03)00200-6
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
From 1981 to 1989, 38 cemented, posterior, stabilized, revision, total knee arthroplasties (TKAs) were performed at the authors' institution using the stemmed kinematic stabilizer prosthesis of a single design. The mean clinical follow-up after the index procedure was 10.1 years. The Knee Society pain score averaged 17 points before revision and improved to 51 points at last follow-up, and the function score averaged 48 points before revision and improved to 57 at last follow-up. Ten-year component survival free of revision or removal for any reason was 96.7%; 11-year component survival free of revision for aseptic loosening was 95.7%. Cemented stem fixation in revision TKA provides good clinical results with durable fixation at an average of 10 years' follow-up.
引用
收藏
页码:592 / 599
页数:8
相关论文
共 12 条
[1]   THE EFFECT OF A STEM ON THE TIBIAL COMPONENT OF KNEE ARTHROPLASTY - A ROENTGEN STEREOPHOTOGRAMMETRIC STUDY OF UNCEMENTED TIBIAL COMPONENTS IN THE FREEMAN-SAMUELSON KNEE ARTHROPLASTY [J].
ALBREKTSSON, BEJ ;
RYD, L ;
CARLSSON, LV ;
FREEMAN, MAR ;
HERBERTS, P ;
REGNER, L ;
SELVIK, G .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1990, 72 (02) :252-258
[2]  
Barrack RL, 1999, CLIN ORTHOP RELAT R, P216
[3]   STEMMED REVISION ARTHROPLASTY FOR ASEPTIC LOOSENING OF TOTAL KNEE REPLACEMENT [J].
BERTIN, KC ;
FREEMAN, MAR ;
SAMUELSON, KM ;
RATCLIFFE, SS ;
TODD, RC .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1985, 67 (02) :242-248
[4]  
Bostrom M P, 1996, Am J Knee Surg, V9, P91
[5]  
EWALD FC, 1989, CLIN ORTHOP RELAT R, P9
[6]   REVISION TOTAL KNEE ARTHROPLASTY WITH USE OF MODULAR COMPONENTS WITH STEMS INSERTED WITHOUT CEMENT [J].
HAAS, SB ;
INSALL, JN ;
MONTGOMERY, W ;
WINDSOR, RE .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1995, 77A (11) :1700-1707
[7]  
INSALL JN, 1989, CLIN ORTHOP RELAT R, P13
[8]   NONPARAMETRIC-ESTIMATION FROM INCOMPLETE OBSERVATIONS [J].
KAPLAN, EL ;
MEIER, P .
JOURNAL OF THE AMERICAN STATISTICAL ASSOCIATION, 1958, 53 (282) :457-481
[9]  
MOW CS, 1994, CLIN ORTHOP RELAT R, P110
[10]  
MURRAY PB, 1994, CLIN ORTHOP RELAT R, P116