ترجمه انگلیسی به فارسی دو پاراگراف در حوزه پزشکی

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Westberg et al. studied a consecutive series of 107 TKAs in 74 patients with haemophilic arthropathy. They conducted a retrospectively review. They revealed five- and 10-year survival rates, with component removal for any reason as the end point, were 92% and 88%, respectively. Twenty-eight TKAs were removed after median 10 years (range 0.8 –28 years). The most common cause of failure was aseptic loosening (14 knees) and periprosthetic infection (seven knees). The overall in-fection rate was 6.5%. The mean postoperative drop in haemoglobin levels was 4.3 g/dL (range 0.5 –9. 4) with a significant difference between haemophilia A patients with and without inhibitor (6.3 g/dL (range 3.6–9.4) ver-sus 3.7 g/dL (range 0.5 –8. 1) ( pb 0.001). A painless knee was reported in 93% of the TKAs at the latest follow-up. Their work showed good prosthetic survival at five and 10 years with an excellent relief of pain.

Goddard et al., reviewed the results of 70 primary total knee replacements (TKR) performed in 57 haemophilic patients between 1983 and 2007. The functional results were assessed using the Hospital for Special Surgery (HSS) knee scoring system and Kaplan-Meier survivorship analysis. Six patients died. HSS scores were available for 60 TKRs at a mean follow-up of 9.2 years (2 to 23); 57 (95%) had good or excellent results. Deep infection was recorded in one patient. Kaplan-Meier analysis using infection and aseptic loosening as endpoints showed the survival rate at 20 years to be 94.0%. A reduction in infection, spontaneous haemarthrosis and improvement in the quality of life were noted to justify surgery in our series of patients with a mean age of 43 (25 to 70). They found that using the latest techniques of continuous infusion of clotting Factor have significantly helped to reduce the complication rates and have achieved results which match those of the non-haemophilic population undergoing TKR

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