【关键词】  膝关节置换术

  对于严重的骨关节炎(osteoarthritis，OA)、  类风湿性关节炎(rheumatoid arthritis，RA)来说，全膝关节置换术(total knee arthroplasty，TKA)是一种疗效肯定、效果优良的
［10］Harvey IA, Barry K, Kirby SP, et al. Factors affecting the range of movement of total knee arthroplasty ［J］. J Bone Joint Surg Bt, 1993，5:950-955.

［11］Laskin RS. Flexion space configuration in total knee arthroplasty［J］. J Arthroplasty, 1995，10:657-660.

［12］Dennis DA, Komistek RD, Mahfouz MR, et al. Multicenter determination of in vivo kinematics after total knee arthroplasty ［J］. Clin Orthop Relat Res，2003，416:37-57.

［13］Ritter MA, Faris PM, Keating EM. Posterior cruciate ligament balancing during total knee arthroplasty ［J］. J Arthroplasty, 1988，3: 323-326.

［14］Dennis DA, Komistek RD, Stiehl JB, et al. Range of motion after total knee arthroplasty: the effect of implant design and weight-bearing conditions ［J］. J Arthroplasty, 1998，13: 748-752.

［15］Matsuda Y, Ishii Y, Noguchi H, et al. Varus-valgus balance and range of movement after total knee arthroplasty ［J］. J Bone Joint Surg Br，2005，87:804-808.

［16］Baldini A, Scuderi GR, Aglietti P, et al. Flexion-extension gap changes during total knee arthroplasty: effect of posterior cruciate ligament and posterior osteophytes removal ［J］. J Knee Surg, 2004, 17: 69-72.

［17］Goldstein WM, Raab DJ, Gleason TF, et al. Why posterior cruciate-retaining and substituting total knee replacements have similar ranges of motion. The importance of posterior condylar offset and cleanout of posterior condylar space ［J］. J Bone Joint Surg Am，2006，88:182-188.

［18］Laskin RS, Beksac B. Stiffness after total knee arthroplasty ［J］. J Arthroplasty, 2004, 19: 41-46.

［19］Mihalko W, Fishkin Z, Krakow K. Patellofemoral overstuff and its relationship to flexion after total knee arthroplasty ［J］. Clin Orthop Relat Res，2006，449:283-287.

［20］Bengs BC, Scott RD. The effect of patellar thickness on intraoperative knee flexion and patellar tracking in total knee arthroplasty［J］. J Arthroplasty，2006，21:650-655.

［21］Walker PS, Garg A. Range of motion in total knee arthroplasty［J］. Clin Orthop, 1991，262: 227-235.

［22］ Boldt JG, Stiehl JB, Hodler J, et al. Femoral component rotation and arthrofibrosis following mobile-bearing total knee arthroplasty ［J］. Int Orthop，2006，30:420-425.

［23］Scuderi GR. The stiff total knee arthroplasty: causality and solution ［J］. J Arthroplasty， 2005，20:23-26.

［24］Bellemans J, Robijns F, Duerinckx J, et al. The influence of tibial slope on maximal flexion after total knee arthroplasty ［J］.Knee Surg Sports Traumatol Arthrosc，2005，13: 193-196.

［25］Kansara D, Markel DC. The effect of posterior tibial slope on range of motion after total knee arthroplasty ［J］. J Arthroplasty，2006，21:809-813.

［26］Scott RD, Siliski JM. The use of a modified V-Y quadricepsplasty during total knee replacement to gain exposure and improve flexion in the ankylosed knee ［J］. Orthopedics, 1985，8: 45-48.

［27］Emerson RH Jr, Ayers C, Head WC, et al. Surgical closing in primary total knee arthroplasties: flexion versus extension ［J］. Clin Orthop, 1996，331:74-80.

［28］Masri BA, Laskin RS, Windsor RE, et al. Knee closure in total knee replacement: a randomized prospective trial ［J］. Clin Orthop, 1996，331:81-86.

［29］Massin P, Gournay A. Optimization of the posterior condylar offset, tibial slope, and condylar roll-back in total knee arthroplasty ［J］. J Arthroplasty，2006，21:889-896.

［30］Hanratty BM, Thompson NW, Wilson RK, et al. The influence of posterior condylar offset on knee flexion after total knee replacement using a cruciate-sacrificing mobile-bearing implant ［J］. J Bone Joint Surg Bt, 2007，98:915-918.

［31］Courts RD, Borden LS, Bryan RS. The effect of continuous passive motion on total knee rehabilitation ［J］. Orthop Trans, 1983，7: 535-536.

［32］Jordan LR, Siegel JL, Olivo JL. Early flexion routine. An alternative method of continuous passive motion ［J］. Clin Orthop, 1995，315:231-233.

［33］ Bennett LA, Brearley SC, Hart JA, et al. A comparison of 2 continuous passive motion protocols after total knee arthroplasty. A controlled and randomized study ［J］. J Arthroplasty，2005, 20:225-233.

［34］Peters CL, Shirley B, Erickson J. The effect of a new multimodal perioperative anesthetic regimen on postoperative pain, side effects, rehabilitation, and length of hospital stay after total joint arthroplasty ［J］. J Arthroplasty，2006，21:132-138.

［35］Yoshino S, Nakamura H, Shiga H, et al. Recovery of full flexion after total knee replacement in rheumatoid arthritis a follow-up study ［J］. Int Orthop,1997，21:98-100.

［36］Kurosaka M, Yoshiya S, Mizuno K, et al. Maximizing flexion after total knee arthroplasty. The need and the pitfalls ［J］. J Arthroplasty, 2002,17:59-62.

［37］Maruyama S, Yoshiya S, Matsui N, et al. Functional comparison of posterior cruciate-retaining versus posterior stabilized total knee arthroplasty ［J］. J Arthroplasty, 2004, 19:349-353.

［38］Aglietti P, Baldini A, Buzzi R, et al. Comparison of mobile-bearing and fixed-bearing total knee arhtroplasty. A prospective randomized study ［J］. J Arthroplasty, 2005, 20:145-153.

［39］Kim YH, Kim JS. Comparison of anterior-posterior-glide and rotating-platform low contact stress mobile-bearing total knee arthroplasties［J］. J Bone Joint Surg, 2004, 86: 1239-1247.

［40］Bellemans J, Banks S, Victor J, et al. Fluoroscopic analysis of the kinematics of deep flexion in total knee arthroplasty . Influence of posterior condylar offset［J］. J Bone Joint Surg Br，2002，84:50-53.

［41］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，2005，20:674-679.

［42］Kiln YH, Sohn KS, Kim JS. Range of motion of standard and high-flexion posterior stabilized total knee prostheses: a prospective, randomized study［J］. J Bone Joint Surg Am，2005，87:1470-1475.

［43］Gupta SK, Ranawat AS, Shah V, et al. The PFC Sigma RP-F TKA designed for improved performance: a matched-pair study ［J］. Orthopedics， 2006，29:49-52.