THE OUTCOME OF 3 METHODS OF PATELLAR RESURFACING IN TOTAL KNEE ARTHROPLASTY

被引:30
作者
BRAAKMAN, M
VERBURG, AD
BRONSEMA, G
VANLEEUWEN, WM
EEFTINCK, MP
机构
关键词
D O I
10.1007/BF00184907
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
Two hundred and three patients with 219 Miller Galante type I knee arthroplasties have been reviewed in a multicentre study at an average of 3.5 years after operation. Three groups are compared: 83 patients were treated with a full polyethylene patellar component; 68 with a metal backed component, and 68 with patellar debridement without resurfacing. We found no differences between the 3 groups in relation to pain, range of movement, stability, flexion or extension deficit, extension lag, alignment, walking distance, ability to climb stairs or the use of walking aids. There was also no difference in the incidence of patellofemoral complications. The number of revision operations was the same in patellar-resurfaced and non-resurfaced knees. Lateral release was accompanied by more complications in every subgroup.
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页码:7 / 11
页数:5
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[1]  
Abraham W., Buchanan J.R., Daubert H., Greer R.B., Keefer J., Should the patella be resurfaced in total knee arthroplasty? efficacy of patellar resurfacing, Clin Orthop, 236, pp. 128-134, (1988)
[2]  
Bayley J.C., Scott R.D., Further observations on metal backed patella component failure, Clin Orthop, 236, pp. 82-87, (1988)
[3]  
Bayley J.C., Scott R.D., Ewald F.C., Holmes G.B., Failure of the metal-backed patellar component after total knee replacement, J Bone Joint Surg, 70, pp. 668-674, (1988)
[4]  
Boyd A.D., Ewald F.C., Thomas W.H., Poss R., Sledge C.B., Long term complications after total knee arthroplasty with or without resurfacing of the patella, J Bone Joint Surg, 75, pp. 674-681, (1993)
[5]  
Brick G.W., Scott R.D., The patellofemoral component of total knee arthroplasty, Clin Orthop, 231, pp. 163-178, (1988)
[6]  
Clayton M.L., Thirupathi R., Patellar complications after total condylar arthroplasty, Clin Orthop, 170, pp. 152-155, (1982)
[7]  
Figgie H.E., Goldberg V.M., Figgie M.P., Inglis A.E., Kelly M., Sobel M., The effect of alignment of the implant on fractures of the patella after total condylar knee arthroplasty, J Bone Joint Surg, 71, pp. 1031-1039, (1989)
[8]  
Goldberg V.M., Figgie H.E., Figgie M.P., Technical considerations in total surgery: management of patella problems, Orth Clin North Am, 20, pp. 189-199, (1989)
[9]  
Gomes L.S.M., Bechtold J.E., Gustilo R.B., Patellar prosthesis positioning in total knee arthroplasty: a roentgenografic study, Clin Orthop, 236, pp. 72-81, (1988)
[10]  
Insall J.N., Binazzi R., Soundry M., Mestriner L.A., Total knee arthroplasty, Clin Orthop, 192, pp. 13-22, (1985)