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全膝关节置换术中单半径与多半径股骨假体的伸膝装置功能

Extensor mechanism function in single-radius vs multiradius femoral components for total knee arthroplasty.

作者信息

Hall James, Copp Steven N, Adelson Wendy S, D'Lima Darryl D, Colwell Clifford W

机构信息

The Center Orthopaedic and Neurosurgical Care and Research, Bend, Oregon, USA.

出版信息

J Arthroplasty. 2008 Feb;23(2):216-9. doi: 10.1016/j.arth.2007.04.001. Epub 2007 Nov 26.

DOI:10.1016/j.arth.2007.04.001
PMID:18280415
Abstract

The early outcomes of 2 newer-generation posterior cruciate ligament-retaining fixed-bearing total knee arthroplasty (TKA) implant designs were assessed to determine if a single sagittal radius femoral design has an advantage in obtaining earlier knee range of motion and function when compared with a contemporary multiradius femoral design. Total knee arthroplasty patients were prospectively randomized to receive either a single sagittal radius femoral design (n=50) or a multiradius femoral design (n=50). Knee extensor mechanism function after TKA with either a single sagittal radius or multiradius implant was comparable in contemporary posterior cruciate ligament-retaining TKA designs.

摘要

评估了两种新一代后交叉韧带保留型固定平台全膝关节置换术(TKA)植入物设计的早期疗效,以确定与当代多半径股骨设计相比,单一矢状半径股骨设计在更早获得膝关节活动范围和功能方面是否具有优势。全膝关节置换术患者被前瞻性随机分为接受单一矢状半径股骨设计(n = 50)或多半径股骨设计(n = 50)。在当代后交叉韧带保留型TKA设计中,使用单一矢状半径或多半径植入物进行TKA后的膝关节伸肌机制功能相当。

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Difference in laxity between single- and multi-radius total knee arthroplasty implants is greatest in extension when gap-balancing at 10° flexion.当在10°屈曲位进行间隙平衡时,单半径和多半径全膝关节置换植入物之间的松弛度差异在伸直位时最大。
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