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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Press fit condylar total knee arthroplasty:radiographic evaluation at a 5-year follow-up
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Press fit condylar total knee arthroplasty:radiographic evaluation at a 5-year follow-up

机译:压入con突全膝关节置换术:5年随访的影像学评估

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摘要

The three standard views are necessary for the radiographic evaluation of a total knee arthroplasty, by the measurement of knee alignment, components position and prosthetic interface. We radiographi-cally evaluated 100 Press-Fit Condylar (PFC) total knee replacements in 66 women and 18 men (mean age, 69.5 years), at a mean follow-up of 5 years. The indication for implantation was osteoarthritis in 87% of the cases and rheumatoid arthritis in 11%. Radiographs were done at 3 and 6 months and then every year after implant, and each time were compared to the postoperative controls. The postoperative alignment had in 98% of the knees a valgus angle between 5deg and 7deg.Radiolucencies were found around the femoral component in 8% of the knees, and in the views of the tibial tray in 33%. The thicknesess of the radiolucent lines was 1 mm and was not progressive in 98% of the pros-theses. One case presented aseptic loosening signs. Evaluation of total joint arthroplasty must be clinical, radiological and with annual intervals, in order to discover early failure signs. Concerning the present study, aseptic loosening is not a complication of the total knee arthroplasty evaluated for a medium follow-up of five years.
机译:通过测量膝关节的位置,部件的位置和修复界面,这三个标准视图对于放射线评估全膝关节置换术是必要的。我们通过放射线照相术评估了66名女性和18名男性(平均年龄69.5岁)的100次全髋关节置换术(PFC),平均随访5年。植入指征是骨关节炎(占87%)和类风湿关节炎(占11%)。分别在植入后3个月和6个月进行射线照相,然后每年进行X射线照相,并将每次与术后对照进行比较。术后对齐在98%的膝盖中有5度到7度之间的外翻角.8%的膝盖在股骨组件周围发现放射线不透,在胫骨托的视野中发现33%。射线可透线的厚度为1 mm,在98%的假体中未进行。 1例出现无菌性松动迹象。为了发现早期衰竭迹象,必须对关节置换术进行临床,放射学检查并每年进行一次评估。关于本研究,无菌松动并不是对中位五年随访评估的全膝关节置换术的并发症。

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