袁丁;李涛;徐浩;王磊;荣春;王英振;

• 1:青岛大学
• 2:青岛大学附属医院

摘要(Abstract)：

内轴型膝关节假体自1999年上市以来,已被越来越多的应用到临床上。从设计原理上,内轴型膝关节假体系统较传统膝关节置换系统有显著优势,可最大程度的恢复正常的髌股关节和胫股关节活动,并且使用最接近膝关节解剖形态的股骨假体设计,提高了关节活动的稳定性,同时增加关节面的接触面积,最大程度降低了聚乙烯的磨损。但有关内轴型膝关节假体置换术后中远期随访研究相对较少,大宗的研究数据亦不多见,这些文献研究中绝大多数为针对欧美国家人群的研究,针对中国人置换该系统后的中远期随访目前无相关报道。本文通过广泛阅读国内外相关文献,总结内轴型假体临床应用的相关研究进展,指出目前研究的不足。

关键词(KeyWords)： 内轴型膝关节假体;研究进展

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 袁丁;李涛;徐浩;王磊;荣春;王英振;

Email:

DOI:

参考文献(References)：

• [1]Kim YH,Choi Y,Kwon OR,et al.Functional outcome and range of motion of high-flexion posterior cruciate-retaining and high-flexionposterior cruciate-substituting total knee prostheses.A prospective,randomized study[J].J Bone Joint Surg Am,2009,91(4):753
• [2]Ritter MA,Campbell E,Faris PM,et al.Long-term survival analysis of the posterior cruciate condylar total knee arthroplasty.A 10-year evaluation[J].J Arthroplasty,1989,4(4):293-296.
• [3]Ldermann A,Lübbeke A,Stern R,et al.Fixed-bearing versus mobilebearing total knee arthroplasty:a prospective randomised,clinical and radiological study with mid-term results at 7 years[J].Knee,2008,15(3):206-210.
• [4]Bhan S,Malhotra R,Kiran EK,et al.A comparison of fi xed-bearingand mobile-bearing total knee arthroplasty at a minimum followup of 4.5 years[J].J Bone Joint Surg Am,2005,87(10):2290-2296.
• [5]Garling EH,Valstar ER,Nelissen RG.Comparison of micromotion in mobile bearing and posterior stabilized total knee prostheses:a randomized RSA study of 40 knees followed for 2 years[J].Acta Orthop,2005,76(3):353-361.
• [6]Henricson A,Dalén T,Nilsson KG.Mobile bearings do not improve fixation in cemented total knee arthroplasty[J].Clin Orthop,2006,448(448):114-121.
• [7]Beard DJ,Pandit H,Price AJ,et al.Introduction of a new mobilebearing total knee prosthesis:minimum three year follow-up of an RCTcomparing it with a fi xed-bearing device[J].Knee,2007,14(6):448-451.
• [8]Kim YH,Kim DY,Kim JS.Simultaneous mobile-and fixed-bearing total knee replacement in the same patients.A prospective comparison of mid-term outcomes using a similar design of prosthesis[J].J Bone Joint Surg Br,2007,89(7):904-910.
• [9]Wylde V,Learmonth I,Potter A,et al.Patient-reported outcomes after fixed-versus mobile-bearing total knee replacement:a multicentre randomised controlled trial using the Kinemax total knee replacement[J].J Bone Joint Surg Br,2008,90(9):1172-1179.
• [10]Hasegawa M,Sudo A,Uchida A.Staged bilateral mobile-bearing and fi xed-bearing total knee arthroplasty in the same patients:a prospective comparison of a posterior-stabilized prosthesis[J].Knee Surg Sports Traumatol Arthrosc,2009,17(3):237-243.
• [11]Most E,Sultan PG,Park SE,et al.Tibiofemoral contact behavior is improved in high-flexion cruciate retaining TKA[J].Clin Orthop,2006,452(452):59-64.
• [12]Most E,Li G,Sultan PG,et al.Kinematic analysis of conventional and high-flexion cruciate-retaining total knee arthroplasties:an in vitro investigation[J].J Arthroplasty,2005,20(4):529-535.
• [13]Minoda Y,Aihara M,Sakawa A,et al.Range of motion of standard and high-flexion cruciate retaining total knee prostheses[J].J Arthroplasty,2009,24(5):674-680.
• [14]Huang HT,Su JY,Wang GJ.The early results of high-flex total knee arthroplasty:a minimum of 2 years of follow-up[J].J Arthroplasty,2005,20(5):674-679.
• [15]Seon JK,Park SJ,Lee KB,et al.Range of motion in total knee arthroplasty:a prospective comparison of high-flexion and standard cruciate retaining designs[J].J Bone Joint Surg Am,2009,91(3):672-679.
• [16]Kim YH,Choi Y,Kim JS.Range of motion of standard and high flexion posterior cruciate-retaining total knee prostheses a prospective randomized study[J].J Bone Joint Surg Am,2009,91(8):1874-1881.
• [17]Nutton RW,van der Linden ML,Rowe PJ,et al.A prospective randomized double-blind study of functional outcome and range of flexion following total knee replacement with the Nex Gen standard and high flexion components[J].J Bone Joint Surg Br,2008,90(1):37-42.
• [18]Youm YS,Cho SD,Lee SH,et al.Total knee arthroplasty using a posterior cruciate ligament sacrificing medial pivot knee:minimum 5-year follow-up results[J].Knee Surg,2014,26(3):135-140.
• [19]Robert S,Steven O,David B,et al.Mid term clinical and radiographic results of the medial pivot total knee system[J].J Inter Orthop,(SICOT)2014,38:2495-2498.
• [20]Fitch DA,Sedacki K,Yan Y,et al.Mid-to long-term outcomes of a medial pivot system for primary total knee replacement[J].Bone Joint Res,2014,3:297-304.
• [21]Campbell DG,Duncan WW,Ashworth M,et al.Patellar resurfacing in total knee replacement:a ten-year randomised prospective trial[J].J Bone Joint Surg Br,2006,88(6):734-739.
• [22]Ewald FC.The knee society total knee arthroplasty roentgenographic evaluation and scoring system[J].Clin Orthop,1989,248:9-12.
• [23]Oztürk A,Bilgen S,Atici T,et al.The evaluation of patients undergoingtotal knee arthroplasty with or without patellar resurfacing[J].Acta Orthop Traumatol Turc,2006,40(1):29-37.
• [24]Na SE,Ha CW,Lee CH.A new high-flexion knee scoring system to eliminate the ceiling effect[J].Clin Orthop,2012,470:584-593.
• [25]Komistek RD,Dennis DA,Mahfouz M.In vivo fluoroscopic analysis of the normal human knee[J].Clin Orthop,2003,410:69-81.
• [26]Miyazaki Y,Nakamura T,Kogame K,et al.Analysis of the kinematics of total knee prostheses with a medial pivot design[J].J Arthroplasty,2014,26(7):1038-1044.
• [27]Schmidt R,Komistek RD,Blaha JD,et al.Fluoroscopic analyses of cruciate-retaining and medial pivot knee implants[J].Clin Orthop,2003,410:139-147.
• [28]Fan CY,Hsieh JT,Hsieh MS,et al.Primitive results after medialpivot knee arthroplasties:a minimum 5-year follow-up study[J].J Arthroplasty,2010,25(3):492-496.
• [29]Insall JN,Dorr LD,Scott RD,et al.Rationale of the knee society clinical rating system[J].Clin Orthop,1989,248:13-14.