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全膝关节置换术后后脱位:深度屈曲的代价?

Posterior dislocation in total knee replacement: a price for deep flexion?

机构信息

Department of Orthopedics, Catholic University Leuven, Weligerveld 1, 3212, Pellenberg, Belgium.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2011 Jun;19(6):911-3. doi: 10.1007/s00167-010-1258-2. Epub 2010 Sep 7.

DOI:10.1007/s00167-010-1258-2
PMID:20821189
Abstract

INTRODUCTION

Post-cam dislocation in TKA is a rare complication after posterior stabilized TKA.

PURPOSE

Four cases of posterior dislocation of the tibia relative to the femur are described in one current posterior stabilized design.

CONCLUSION

Specific design features in one contemporary high flexion TKA design contribute to high dislocation rates.

摘要

引言

TKA 后髁间脱位是后稳定型 TKA 后一种罕见的并发症。

目的

本文描述了在一种现行的后稳定型设计中发生的 4 例胫骨相对于股骨的后脱位。

结论

一种现代高屈曲 TKA 设计中的特定设计特征导致了高脱位率。

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引用本文的文献

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An experimental model for kinematic analysis of the knee.一种用于膝关节运动学分析的实验模型。
J Bone Joint Surg Am. 2009 Nov;91 Suppl 6:150-63. doi: 10.2106/JBJS.I.00498.
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In vivo kinematics after a cruciate-substituting TKA.全膝关节置换术后的关节内运动学。
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The influence of contemporary knee design on high flexion: a kinematic comparison with the normal knee.当代膝关节设计对高屈曲度的影响:与正常膝关节的运动学比较
Implant survival of 3rd-condyle and post-cam posterior-stabilised total knee arthroplasty are comparable at follow-up > 10 years: a systematic review.
3 髁后和后凸轮后稳定型全膝关节置换术后 10 年以上随访的假体存活率相当:系统评价。
Knee Surg Sports Traumatol Arthrosc. 2022 Mar;30(3):1001-1024. doi: 10.1007/s00167-021-06507-w. Epub 2021 Mar 4.
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Tibiofemoral dislocation after primary total knee arthroplasty: a systematic review.初次全膝关节置换术后胫骨股骨脱位:系统评价。
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Short-term safety and effectiveness of a second-generation motion-guided total knee system.第二代运动引导全膝关节系统的短期安全性和有效性
Arthroplast Today. 2018 Feb 16;4(2):240-243. doi: 10.1016/j.artd.2017.11.007. eCollection 2018 Jun.
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In-vivo kinematics of high-flex posterior-stabilized total knee prosthesis designed for Asian populations.专为亚洲人群设计的高屈曲后稳定型全膝关节假体的体内运动学
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Design modifications of high-flexion TKA do not improve short term clinical and radiographic outcomes.高屈曲度全膝关节置换术的设计改良并不能改善短期临床和影像学结果。
BMC Musculoskelet Disord. 2014 Dec 15;15:433. doi: 10.1186/1471-2474-15-433.
8
Consecutive series of 226 journey bicruciate substituting total knee replacements: early complication and revision rates.连续226例行程双交叉替代全膝关节置换术:早期并发症及翻修率
BMC Musculoskelet Disord. 2014 Nov 25;15:395. doi: 10.1186/1471-2474-15-395.
9
Post-cam mechanics and tibiofemoral kinematics: a dynamic in vitro analysis of eight posterior-stabilized total knee designs.后置式机械结构与胫股关节运动学:8 种后稳定型全膝关节假体的动态体外分析
Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3343-53. doi: 10.1007/s00167-014-3167-2. Epub 2014 Jul 22.
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Design and kinematics in total knee arthroplasty.全膝关节置换术的设计与运动学。
Int Orthop. 2014 Feb;38(2):227-33. doi: 10.1007/s00264-013-2245-2. Epub 2014 Jan 14.
J Bone Joint Surg Am. 2008 Nov;90 Suppl 4:195-201. doi: 10.2106/JBJS.H.00817.
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The variation in medial and lateral collateral ligament strain and tibiofemoral forces following changes in the flexion and extension gaps in total knee replacement. A laboratory experiment using cadaver knees.全膝关节置换术中屈伸间隙改变后内外侧副韧带应变及胫股关节力的变化。一项使用尸体膝关节的实验室实验。
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