Comparative study on mid- and long-term clinical effects of medial pivot prosthesis and posterior-stabilized prosthesis after total knee arthroplasty.
Comparative study on mid- and long-term clinical effects of medial pivot prosthesis and posterior-stabilized prosthesis after total knee arthroplasty.
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全膝关节置换术后内侧枢轴假体与后稳定假体的中长期临床效果对比研究
DOI：
10.1186/s13018-020-01951-9
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发表时间：
2020-09-17
影响因子：
2.6
通讯作者：
Li T
中科院分区：
文献类型：
--
作者：
Shi W;Jiang Y;Wang C;Zhang H;Wang Y;Li T
目的探讨我国全膝关节置换术（TKA）术后采用内侧枢轴式（MP）假体和后稳定式（PS）假体的中长期临床疗效，为临床推荐假体提供参考。方法回顾性分析2010年6月至2013年12月802例TKA患者的临床资料。MP组共432例，PS组共375例。比较两组患者术后活动范围（ROM）、临床评分包括膝关节评分系统（KSS）、西安大略省和麦克马斯特大学骨关节炎指数（WOMAC）、遗忘关节评分（FJS）和术后并发症。结果共随访527例患者，其中MP组290例，PS组237例。两组患者KSS评分、WOMAC评分、术后ROM均较术前有明显改善，但组间差异无统计学意义（P < 0.05）。MP组与PS组FJS评分均满意，差异无统计学意义（P= 0.426）。MP组术后并发症5例，PS组术后并发症11例。结论TKA联合MP或PS在中国患者中长期的临床效果是令人鼓舞的，两种假体之间没有显著差异。研究还表明，这两种假肢对中国患者都是安全的。
ObjectiveThe purpose of this study was to explore the mid-and long-term clinical effects of Chinese patients with medial pivot (MP) prosthesis and posterior-stabilized (PS) prosthesis after total knee arthroplasty (TKA), to provide a reference for the recommendation of clinical prostheses.MethodsA retrospective analysis of 802 patients who received TKA was performed from June 2010 to December 2013. A total of 432 patients received a MP prosthesis (MP group) and 375 patients received a PS prosthesis (PS group). Postoperative range of motion (ROM), clinical scores including the knee scoring system (KSS), the Western Ontario and McMaster Universities osteoarthritis index (WOMAC), the forgotten joint score (FJS), and postoperative complications were compared between the two groups.ResultsA total of 527 patients were followed up, including 290 in the MP group and 237 in the PS group. Both groups achieved satisfactory results in terms of KSS score, WOMAC score, and postoperative ROM, which were significantly improved compared with those before surgery, but the difference between the groups was not statistically significant (P 0.05). The FJS scores of the MP group and the PS group were satisfactory and no significant difference was observed (P= 0.426). Postoperative complications occurred in 5 and 11 patients in the MP group and PS group, respectively.ConclusionThe clinical results of TKA with MP or PS in Chinese patients at mid- and long-term are encouraging, and no significant differences were observed between the two types of prostheses. Studies have also shown that both prostheses are safe for Chinese patients.
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影响因子：
2.5
作者：
Conrad DN;Dennis DA
通讯作者：
Dennis DA
影响因子：
3.5
作者：
Anderson, MJ;Becker, DL;Kieckbusch, T
通讯作者：
Kieckbusch, T
影响因子：
2.3
作者：
Dehl, M.;Bulaid, Y.;Mertl, P.
通讯作者：
Mertl, P.
DOI：
10.1302/0301-620x.82b8.10718
发表时间：
2000-11-01
影响因子：
--
作者：
Nakagawa, S;Kadoya, Y;Yamano, Y
通讯作者：
Yamano, Y
DOI：
10.1302/0301-620x.82b8.10716
发表时间：
2000-11-01
影响因子：
--
作者：
Hill, PF;Vedi, V;Freeman, MAR
通讯作者：
Freeman, MAR