在全膝关节置换术中使用模块化小梁金属胫骨假体进行至少2年的随访

Eddy D Zandee van Rilland, Joseph Varcadipane, O. Geling, M. Kuba, Cass K. Nakasone
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引用次数: 7

摘要

在全膝关节置换术(TKA)中,胫骨假体的早期失效仍然是一个值得关注的问题。在年轻、活跃的患者中,骨水泥植入物的固定缺失仍然是一个问题。我们试图确定在单一外科医生社区医院接受金属小梁(TM)植入的患者的预后。方法:回顾性分析133例使用TM胫骨植入物的患者的167例连续原发性tka,随访至少2年。结果:167例患者中有4例(2.4%)因无菌性松动而失败。局部和全身并发症发生率低。住院时间和止血带时间的数据也被报道。结论:接受TM种植体的患者总体并发症较低。为了确定我们观察到的结果是否持续,需要更长的随访时间。
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A Minimum 2-Year Follow-up Using Modular Trabecular Metal Tibial Components in Total Knee Arthroplasty
INTRODUCTION: Early failure of tibial components remains a concern in total knee arthroplasty (TKA). Loss of fixation with cemented implants continues to be problematic in young, active patients.  We sought to determine outcomes in patients receiving trabecular metal (TM) implants in a single-surgeon community hospital setting. METHODS: A retrospective analysis was performed on 167 consecutive primary TKAs performed on 133 patients utilizing a TM tibial implant with a minimum two years follow-up. RESULTS: Failure due to aseptic loosening occurred in 4 of the 167 cases (2.4%). Local and systemic complication rates were low. Length of hospital stay and tourniquet time data were also reported. CONCLUSION: Overall complications were low in our cohort of patients receiving TM implants.  Longer follow-up is necessary to determine if the outcomes we observed are sustained over time.
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