AIM To review and report functional outcomes, complications,and survivorship associated with total knee arthroplasty(TKA) in the treatment of post-traumatic arthritis(PTA).METHODS We conducted a systematic review acco...AIM To review and report functional outcomes, complications,and survivorship associated with total knee arthroplasty(TKA) in the treatment of post-traumatic arthritis(PTA).METHODS We conducted a systematic review according to the PRISMA guidelines. We searched PubMed, Cochrane Library, and SCOPUS in December 2015 for Englishlanguage clinical research studies, both prospective and retrospective, examining the use of TKA for the treatment of PTA. All relevant articles were accessed in full. The manual search included references of retrieved articles.We extracted data on patients' demographics and clinical outcomes, including preoperative diagnosis and pre- and post-operative functional scores. We summarized the data and reported the results in tables and text.RESULTS Sixteen studies, four prospective and ten retrospective,examined patients who underwent TKA for PTA due to fractures of the proximal tibia, patella, and/or distal femur. Eleven studies utilized the Knee Society Scores criteria to assess functional outcomes. All studies utilizing these criteria reported an improvement in functional and knee scores of patients following TKA. Further, studies reported an increased range of motion(ROM) and reduction of pain following surgery. The most commonly reported complications with TKA included infection, stiffness, wound complications, intraoperative rupture of tendons, and osteolysis/polyethylene wear. The overwhelming majority of these complications occurred within the first two years following surgery. Six studies examined the survivorship of TKA with subsequent revision for any reason as an endpoint. Compared to patients with osteoarthritis, patients with PTA required more revisions, the majority for polyethylene wear.CONCLUSION Although associated with higher complication rates,TKA is an effective treatment for PTA, as it improves ROM, pain and functional outcomes.展开更多
目的探讨股骨髁间粉碎性骨折切开复位双钢板内固定的临床价值。方法采用切开复位普通钢板、髁部支撑钢板内固定治疗股骨髁间粉碎性骨折84例。根据术前术后X线片及术后膝关节功能恢复情况评价内固定效果。结果 84例均获得随访,时间8个月...目的探讨股骨髁间粉碎性骨折切开复位双钢板内固定的临床价值。方法采用切开复位普通钢板、髁部支撑钢板内固定治疗股骨髁间粉碎性骨折84例。根据术前术后X线片及术后膝关节功能恢复情况评价内固定效果。结果 84例均获得随访,时间8个月～6年。根据Sanders et al评分标准:优45例,良30例,差9例,优良率89.5%。骨折11～18个月均骨性愈合。结论该方法操作简便,固定牢固,可早期活动,有较高的临床实用价值,该术式是治疗股骨髁间粉碎性骨折的理想选择。展开更多
文摘AIM To review and report functional outcomes, complications,and survivorship associated with total knee arthroplasty(TKA) in the treatment of post-traumatic arthritis(PTA).METHODS We conducted a systematic review according to the PRISMA guidelines. We searched PubMed, Cochrane Library, and SCOPUS in December 2015 for Englishlanguage clinical research studies, both prospective and retrospective, examining the use of TKA for the treatment of PTA. All relevant articles were accessed in full. The manual search included references of retrieved articles.We extracted data on patients' demographics and clinical outcomes, including preoperative diagnosis and pre- and post-operative functional scores. We summarized the data and reported the results in tables and text.RESULTS Sixteen studies, four prospective and ten retrospective,examined patients who underwent TKA for PTA due to fractures of the proximal tibia, patella, and/or distal femur. Eleven studies utilized the Knee Society Scores criteria to assess functional outcomes. All studies utilizing these criteria reported an improvement in functional and knee scores of patients following TKA. Further, studies reported an increased range of motion(ROM) and reduction of pain following surgery. The most commonly reported complications with TKA included infection, stiffness, wound complications, intraoperative rupture of tendons, and osteolysis/polyethylene wear. The overwhelming majority of these complications occurred within the first two years following surgery. Six studies examined the survivorship of TKA with subsequent revision for any reason as an endpoint. Compared to patients with osteoarthritis, patients with PTA required more revisions, the majority for polyethylene wear.CONCLUSION Although associated with higher complication rates,TKA is an effective treatment for PTA, as it improves ROM, pain and functional outcomes.
文摘目的探讨股骨髁间粉碎性骨折切开复位双钢板内固定的临床价值。方法采用切开复位普通钢板、髁部支撑钢板内固定治疗股骨髁间粉碎性骨折84例。根据术前术后X线片及术后膝关节功能恢复情况评价内固定效果。结果 84例均获得随访,时间8个月～6年。根据Sanders et al评分标准:优45例,良30例,差9例,优良率89.5%。骨折11～18个月均骨性愈合。结论该方法操作简便,固定牢固,可早期活动,有较高的临床实用价值,该术式是治疗股骨髁间粉碎性骨折的理想选择。
