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題名 | Comparing Cruciate-Retaining Total Knee Arthroplasty and Cruciate-Substituting Total Knee Arthroplasty: A Prospective Clinical Study=比較後十字韌帶保留或替代型人工膝關節置換:前瞻性臨床研究 |
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作者 | 王清貞; 王俊聞; 陳漢祥; | 書刊名 | 長庚醫學 |
卷期 | 27:8 2004.08[民93.08] |
頁次 | 頁578-585 |
分類號 | 416.61 |
關鍵詞 | 後十字韌帶保留; 人工膝關節置換; 後十字韌帶替代; Total knee arthroplasty; Cruciate-retaining; Cruciate-substituting; |
語文 | 英文(English) |
中文摘要 | 背景:此為一比較後十字帶保留型及替代型人工膝關節置換的臨床結果及影像學研究之前瞻性報告。 方法:從1997年至1998年間,我們收集了228位病患,其中183位是女性及45位的男性,平均年齡為55歲(從20歲到83歲不等),在此一研究中,共施行267個人工膝關節置換。我們將病患隨機分配成兩組;第一組有137位病患,共有157個膝關節進行保留型人工膝關節置換,第二組有91位病患,進行110個替代型人工膝關節換。評估方法包括膝關評分、功能評分、X光評分及SF-12評分。病例平均追蹤時間為42個月(從22個月到66個月)。 結果:保留型人工膝關節的病患中有74.3%的病人是極佳結果,17.7%為好的結果,7.1%的病人覺得普通,還有0.9%的病人覺得不好。而在施行替代型人工膝節節置換術的病患中,有76.9%的病人反應極無,19.2%為好的結果,3.8%的病人感到普通。這兩組之間的差異並無統計上的意義,在X光的變化上也沒有明顯差別。 結論:保留型與替代型人工膝關節置換,在術後2-5年間,功能表現是一樣好的,而成功的人工膝關節置換術靠的是開刀技術而非後十字韌帶的切除與否,特別是有相當程度的膝關節變形存在時,保留後十字韌帶是很困難,倘若要在保留型或替代型人工膝關節中找出二者的差異,只有靠更長期的追蹤。 |
英文摘要 | Background: This prospective clinical study was performed to compare tha clinical outcomesand radiographic changes between patients with cruciate-retaining (CR) and cruciate-substituting (CS) total knee arthroplasty (TKA). Methods: From 1997 through 1998, 228 patients (183 females and 45 males) with a total of 267 knees with an average age of 55 years (range, 20 to 83 years) were enrolled in this study. Patients were randomly divided into two groups I of 137 patients underwent 157 CR TKA, and group II of 91 patients underwent 110 CS total knee arthroplasties. The evaluation parameters included knee scores, functional scores, radiographs of the knee and SF-12 surveys. The average follow-up period was 42 months (range, 24 to 66months). Results: The overall results for group I were 74.3% excellent, 17.7% good, 7.1% fair and 0.9% poor for, and 76.9% excellent, 19.2% good and 3.8% fair for group II. No significant differences were noted in the overall results between the two groups. The radiographic changes showed no discernable differences. Conclusions: Cruciate-retaining and cruciate-substituting total knee arthroplasties function equally well at 2 to 5 years postoperatively. The ultimate differences between the patients who underwent CR TKA and CS TKA need to be examined after long-tern follow up. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。