无旋转约束的固定轴承全膝关节假肢的长期结果
E Pitsaer1, S Chergui2, F Lavoie3
1Division of Orthopaedic Surgery, Denain Hospital Center, 25 Bis Avenue Jean Jaurès, 59220, Denain, France.
International orthopaedics
|February 3, 2024
概括
赫梅斯后部稳定 (PS) 假肢在全膝关节整形术中表现出极好的长期生存和功能结果. 这项研究证实了其可靠的耐用性和18年随访期间的患者满意度.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 关节塑形研究研究
背景情况:
- 1990年推出的Ceraver Hermes后部稳定 (PS) 假肢缺乏广泛的长期生存数据.
- 评估已知膝关节假肢的长期性能对于临床决策至关重要.
研究的目的:
- 评估Hermes PS假肢的长期存活率.
- 评估使用赫尔梅斯PS假肢治疗的患者的功能结果.
主要方法:
- 回顾164名患者 (176名膝盖) 的病例系列,这些患者使用赫梅斯假肢接受了全膝关节整形手术.
- 假肢植入发生在1997年至2000年之间.
- 随访时间长达18年.
主要成果:
- 卡普兰-梅尔生存率分析显示,在18.4年后的生存率为99.4%,仅有一次修复手术.
- 在最后的随访中,国际膝关节协会 (IKS) 功能评分的平均值为93.2 ± 15.6.
- 平均IKS膝盖得分为99.1 ± 2.5.5的平均值.
结论:
- 爱马仕PS假肢具有可靠的耐用性,与其他领先的设计相美.
- 这种符合性较低的假肢最小化了旋转约束,可能有助于外科医生.
- 假肢为采用新设计的临床医生提供了一个可靠的学习曲线.
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