Successive bilateral total knee replacement.

Successive bilateral total knee replacement.
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连续双侧全膝关节置换术。

DOI:
10.2106/00004623-198567040-00011
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发表时间:
1985
期刊:
Journal of Bone and Joint Surgery. American volume
影响因子:
--
通讯作者:
J. Goulet
J. Goulet
中科院分区:
--
文献类型:
--
作者:
M. Soudry;R. Binazzi;J. Insall;T. Nordstrom;P. Pellicci;J. Goulet

文献摘要

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我们研究了304例后稳定型髁膝关节置换术的结果,比较了单侧、双侧一期和双侧分期关节置换术。临床随访的最短时间为两年。使用特殊外科医院评级系统,我们发现所有三组的临床结果相同。各组的医疗并发症相似,但静脉造影显示,分期手术患者的血栓栓塞和肺栓塞发生率较高。我们的结论是,一期双侧膝关节置换术是更可取的病人谁需要更换严重关节炎的膝盖。
We studied the results of 304 posterior stabilized condylar knee arthroplasties, performed over a two and a half-year period, to compare unilateral, bilateral one-stage, and bilateral staged arthroplasty. The minimum length of clinical follow-up was two years. Using The Hospital for Special Surgery rating system, we found the clinical results to be identical for all three groups. The medical complications were similar in each group except that there was a higher incidence of thromboembolism and pulmonary embolism, as seen venographically, in the patients with staged procedures. We concluded that one-stage bilateral knee arthroplasty is preferable in a patient who requires replacement for severely arthritic knees.