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导航辅助全膝关节置换术治疗保留股骨髓内钉、股骨远端钢板和螺钉的膝关节。

Navigation-assisted total knee arthroplasty for the knee retaining femoral intramedullary nail, and distal femoral plate and screws.

机构信息

Department of Orthopedic Surgery, University Hospital, Konyang University College of Medicine, Daejeon, Korea.

出版信息

Clin Orthop Surg. 2011 Mar;3(1):77-80. doi: 10.4055/cios.2011.3.1.77. Epub 2011 Feb 15.

DOI:10.4055/cios.2011.3.1.77
PMID:21369482
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3042173/
Abstract

Proper ligament balancing, restoration of the mechanical axis and component alignment are essential for the success and longevity of a prosthesis. In conventional total knee arthroplasty (TKA), an intramedullary guide is used to improve the alignment. An extramedullary guide can be used in cases of severe femoral bowing or intramedullary nailing but its use is more subjective and relies on the surgeon's experience. This paper reports two successful cases of navigation-assisted TKA for severe right knee osteoarthritis retaining a femoral intramedullary nail, and left knee osteoarthritis retaining a distal femoral plate.

摘要

适当的韧带平衡、恢复机械轴和组件对线对于假体的成功和长期效果至关重要。在传统的全膝关节置换术（TKA）中，使用髓内导针来改善对线。在严重的股骨干弯曲或髓内钉固定的情况下，可以使用髓外导针，但使用更为主观，依赖于外科医生的经验。本文报告了两例成功的导航辅助 TKA 治疗严重右膝骨关节炎保留股骨髓内钉和左膝骨关节炎保留股骨远端钢板的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/ddec8192b721/cios-3-77-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/076c8ce0499e/cios-3-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/ed59c7780217/cios-3-77-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/0b3b9aac91fd/cios-3-77-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/4bf75507d1f6/cios-3-77-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/22cc30cc818a/cios-3-77-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/c5ca9927c2e1/cios-3-77-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/ddec8192b721/cios-3-77-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/076c8ce0499e/cios-3-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/ed59c7780217/cios-3-77-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/0b3b9aac91fd/cios-3-77-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/4bf75507d1f6/cios-3-77-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/22cc30cc818a/cios-3-77-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/c5ca9927c2e1/cios-3-77-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e09d/3042173/ddec8192b721/cios-3-77-g007.jpg

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本文引用的文献

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Navigation-assisted total knee arthroplasty for a knee with malunion of the distal femur.导航辅助下股骨远端畸形愈合膝关节的全膝关节置换术。
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2
Periprosthetic femoral supracondylar fracture after total knee arthroplasty with navigation system.全膝关节置换术后使用导航系统发生的假体周围股骨髁上骨折
J Arthroplasty. 2008 Feb;23(2):304-7. doi: 10.1016/j.arth.2006.12.049. Epub 2007 Sep 24.
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Case report : femoral shaft fracture resulting from femoral tracker placement in navigated TKA.
Computed tomography based 3D printed patient specific blocks for total knee replacement.
基于计算机断层扫描的3D打印全膝关节置换患者特异性垫块
J Clin Orthop Trauma. 2018 Jul-Sep;9(3):254-259. doi: 10.1016/j.jcot.2018.07.013. Epub 2018 Jul 18.
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Total knee arthroplasties from the origin to navigation: history, rationale, indications.从起源到导航的全膝关节置换术：历史、原理、适应证。
Int Orthop. 2019 Mar;43(3):597-604. doi: 10.1007/s00264-018-3913-z. Epub 2018 Mar 27.
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Total Knee Arthroplasty Using Patient-specific Blocks after Prior Femoral Fracture without Hardware Removal.在未取出内固定物的情况下，使用定制截骨模块进行全膝关节置换治疗既往股骨骨折
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The biomechanics of torsional fractures. The stress concentration effect of a drill hole.扭转骨折的生物力学。钻孔的应力集中效应。
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