Severe Bilateral Fixed Flexion Deformity-Simultaneous or Staged Total Knee Arthroplasty?

被引：8
|
作者：
Lee, Wu Chean [1 ]
Kwan, Yu Heng [2 ,3 ]
Yeo, Seng Jin [1 ]
机构：
[1] Singapore Gen Hosp, Dept Orthopaed Surg, Singapore 169608, Singapore
[2] Duke NUS Grad Med Sch, Off Clin Sci, Ctr Quantitat Med, Singapore, Singapore
[3] Duke NUS Grad Med Sch, Program Hlth Serv & Syst Res, Singapore, Singapore
来源：
JOURNAL OF ARTHROPLASTY | 2016年 / 31卷 / 01期
关键词：
bilateral flexion contracture; total knee arthroplasty; PROSTHESES; OUTCOMES; REPLACEMENT; SAFETY; MOTION; RANGE;
D O I：
10.1016/j.arth.2015.08.022
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：
Outcomes of 29 simultaneous (SimBTKA) and 38 staged bilateral total knee arthroplasty (StaBTKA) subjects with severe (>= 16 degrees) bilateral fixed flexion deformity (FFD) were retrospectively investigated. SimBTKA patients were significantly younger (63 +/- 8 vs 68 +/- 7, P > .01). At 2 years, SimBTKA subjects had significantly better residual FFD (2.5 degrees +/- 5.1 degrees vs 5.4 degrees +/- 6.6 degrees, P = .02) and Knee Society function score (75.7 +/- 25.7 vs 69.3 +/- 24.1, P = .02). However, Knee Society knee scores, Oxford Knee Scores, and Short Form-36 scores were similar. These suggest no large clinical advantage of SimBTKA over StaBTKA. We feel that severe bilateral FFD is not an absolute indication for SimBTKA. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码：128 / 131
页数：4
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