文献类型：期刊文献

英文题名：Clinical Outcomes and Complications of Total Knee Arthroplasty with Posterior-Stabilized and Cruciate-Retaining Prostheses in Osteoarthritis Patients with Valgus Deformity

作者：Xue, Lijun[1];Wen, Xin[2];Song, Yawen[2];Qiang, Shenglin[1];Li, Shurui[1]

第一作者：薛丽君

通信作者：Li, SR[1]

机构：[1]Gansu Univ Tradit Chinese Med, Dept Orthoped Trauma, Affiliated Hosp, Lanzhou 730020, Gansu, Peoples R China;[2]Gansu Univ Tradit Chinese Med, Dept Acupuncture Ctr, Affiliated Hosp, Lanzhou 730020, Gansu, Peoples R China

第一机构：甘肃中医药大学第二附属医院

通信机构：[1]corresponding author), Gansu Univ Tradit Chinese Med, Dept Orthoped Trauma, Affiliated Hosp, Lanzhou 730020, Gansu, Peoples R China.|[10735b845793de6ae2b30]甘肃中医药大学第二附属医院;[10735]甘肃中医药大学;

年份：2025

卷号：96

期号：3

起止页码：352

外文期刊名：ANNALI ITALIANI DI CHIRURGIA

收录：;Scopus(收录号：2-s2.0-105000433782);WOS:【SCI-EXPANDED(收录号:WOS:001446642400011)】；

语种：英文

外文关键词：cruciate-retaining prosthesis; posterior-stabilized prosthesis; total knee arthroplasty; knee osteoarthritis; valgus deformity

摘要：AIM: This study aimed to evaluate the short- and long-term outcomes and complications of total knee arthroplasty (TKA) using posterior- stabilized (PS) and cruciate-retaining (CR) prosthesis in patients with osteoarthritis (OA) and valgus knee deformity. METHODS: A retrospective analysis was conducted on 200 patients with OA and valgus knee deformity who underwent TKA between February 2021 and November 2023. The cohort was divided into the PS group (n = 108) and the CR group (n = 92). Clinical outcomes, including Range of Motion (ROM), Hospital for Special Surgery (HSS) knee score, and Visual Analog Scale (VAS) score, were assessed at 1 week, 1 month, 3 months, 6 months, and 1 year postoperatively. Pre- and postoperative valgus angles were measured, and the incidence of complications was recorded. RESULTS: Both groups exhibited significant postoperative improvements in ROM, HSS scores, and VAS scores compared to preoperative (p < 0.001). The CR group demonstrated superior early postoperative outcomes, with higher HSS scores, greater ROM, and lower VAS scores at 1 week, 1 month, and 3 months (p <0.001). However, no significant differences were observed between the groups at 6 months and 1 year (p > 0.05). Radiographic analysis indicated effective correction of valgus angles in both groups postoperatively (p < 0.001), with no significant intergroup differences (p > 0.05). The complication rate was significantly lower in the CR group compared to the PS group (p <0.05). CONCLUSIONS: CR and PS prostheses effectively correct valgus deformity, alleviate pain, and improve knee function. However, the CR prosthesis offers advantages in reducing early postoperative pain, swelling, and complications, facilitating faster functional recovery. The selection of the appropriate prosthesis based on patient-specific characteristics is critical to optimizing TKA outcomes.