The Insall-Burstein total knee replacement in osteoarthritis - A 10-year minimum follow-up
The Insall-Burstein total knee replacement in osteoarthritis - A 10-year minimum follow-up
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DOI：
10.1016/s0883-5403(99)90077-3
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发表时间：
1999-08-01
影响因子：
3.5
通讯作者：
Giron, F
中科院分区：
文献类型：
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作者：
Aglietti, P;Buzzi, R;Giron, F
86例骨关节炎患者共植入99个Insall-Burstein后路稳定（IBPS）膝关节置换术。我们对60个膝关节进行了10到15年的随访。使用膝关节协会评分，35个膝关节（58%）为优秀，15个（25%）为良好，4个（7%）为一般，6个（10%）为差。随访时平均屈曲度为106度。5个膝关节（9%）出现中度髌骨膝屈，1个膝关节需要切除髌骨近端滑膜结节。x线分析显示，固定良好的胫骨和股骨部件周围有5个溶骨性病变（8%），7个膝关节（12%）内侧聚乙烯厚度狭窄（1mm）。6例（10%）患者因无菌性松动（4个膝关节）、深度感染（1个膝关节）和复发性髌骨脱位（1个膝关节）而需要再次手术。以修订为终点的生存分析显示，10年累积成功率为92%。在这项研究中，IBPS膝关节显示出良好的长期效果，无菌性松动率低，没有因聚乙烯磨损而导致的故障。
A total of 99 Insall-Burstein posterior stabilized (IBPS) knee replacements were implanted in 86 osteoarthritic patients. We reviewed 60 knees with a 10- to 15-year follow-up. Using the Knee Society score, 35 knees (58%) were excellent, 15 (25%) good, 4 (7%) fair, and 6 (10%) poor. Flexion at follow-up was 106 degrees on average. Moderate patellofemoral crepitation was present in 5 knees (9%), and 1 knee required excision of a synovial nodule proximal to the patella. Radiographic analysis showed 5 osteolytic lesions (8%) around well-fixed tibial and femoral components and minimal (1 mm) narrowing of the medial pelyethylene thickness in 7 knees (12%). There were 6 (10%) failures requiring reoperation because of aseptic loosening (4 knees), deep infection (1 knee), and recurrent patellar dislocation (1 knee). Survivorship analysis using revision as the endpoint showed a cumulative success rate of 92% at 10 years. In this study, the IBPS knee has shown good long-term results with low rates of aseptic loosening and no failures attributable to polyethylene wear.