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内翻膝假体设计的放射学和临床效果?

Radiological and clinical effect of prosthesis design in varus knees?

作者信息

Isyar Mehmet, Guler Olcay, Cakmak Selami, Kara Adnan, Yalcin Sercan, Mahirogullari Mahir

机构信息

Department of Orthopaedics and Traumatology, Istanbul Medipol University School of Medicine, 34214, Bagcilar, Istanbul, Turkey.

Department of Orthopaedics and Traumatology, Gulhane Military Medical Academy, Haydarpasa Training Hospital, 34668, Uskudar, Istanbul, Turkey.

出版信息

J Orthop. 2015 Jun 10;12(4):211-6. doi: 10.1016/j.jor.2015.05.011. eCollection 2015 Dec.

DOI:10.1016/j.jor.2015.05.011
PMID:26566321
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4601984/
Abstract

PURPOSE

The aim of the study is to investigate the efficacy of the prosthesis design used in total knee arthroplasty in patients with varus malalignment.

METHODS

After exclusion criteria we classified 90 patients underwent total knee arthroplasty according to prosthesis used into two groups: posterior cruciate ligament substituting and retaining. Mean follow up period was 25-98 months. We evaluated preoperative and postoperative radiological and as well as clinical parameters such as pain, knee function, flexion deformity.

RESULTS

We found statistically significant difference in both groups in terms of deformity correction (p = 0.000).

CONCLUSION

Prosthesis design affects radiological outcomes in varus knees.

摘要

目的

本研究旨在调查内翻畸形患者全膝关节置换术中使用的假体设计的疗效。

方法

根据排除标准,我们将90例行全膝关节置换术的患者按使用的假体分为两组:后交叉韧带替代型和保留型。平均随访期为25至98个月。我们评估了术前和术后的影像学以及临床参数,如疼痛、膝关节功能、屈曲畸形。

结果

我们发现两组在畸形矫正方面均存在统计学上的显著差异(p = 0.000)。

结论

假体设计对内翻膝关节的影像学结果有影响。

相似文献

1
Radiological and clinical effect of prosthesis design in varus knees?内翻膝假体设计的放射学和临床效果?
J Orthop. 2015 Jun 10;12(4):211-6. doi: 10.1016/j.jor.2015.05.011. eCollection 2015 Dec.
2
Posterior cruciate-retaining versus posterior-stabilized total knee arthroplasty for osteoarthritis with severe varus deformity.后交叉韧带保留型与后稳定型全膝关节置换术治疗重度膝内翻畸形骨关节炎
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Functional outcome and range of motion of high-flexion posterior cruciate-retaining and high-flexion posterior cruciate-substituting total knee prostheses. A prospective, randomized study.高屈曲后交叉韧带保留型和高屈曲后交叉韧带替代型全膝关节假体的功能结果与活动范围:一项前瞻性随机研究。
J Bone Joint Surg Am. 2009 Apr;91(4):753-60. doi: 10.2106/JBJS.H.00805.
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Preoperative varus-valgus kinematic pattern throughout flexion persists more strongly after cruciate-retaining than after posterior-stabilized total knee arthroplasty.在整个屈曲过程中,保留交叉韧带的全膝关节置换术后,术前内翻-外翻运动学模式比后稳定型全膝关节置换术后更强烈地持续存在。
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本文引用的文献

1
Do patients really gain outcome benefits when using the high-flex knee prostheses in total knee arthroplasty? A meta-analysis of randomized controlled trials.在全膝关节置换术中使用高屈曲度膝关节假体时,患者真的能获得更好的治疗效果吗?一项随机对照试验的荟萃分析。
J Arthroplasty. 2015 Apr;30(4):580-6. doi: 10.1016/j.arth.2014.11.025. Epub 2014 Dec 4.
2
Similar outcome after retention or sacrifice of the posterior cruciate ligament in total knee arthroplasty.全膝关节置换术中保留或牺牲后交叉韧带后的相似结果。
Acta Orthop. 2015 Apr;86(2):195-201. doi: 10.3109/17453674.2014.973329. Epub 2014 Oct 17.
3
A systematic review and meta-analysis of patient-specific instrumentation for improving alignment of the components in total knee replacement.系统评价和荟萃分析:患者特异性器械在全膝关节置换中改善组件对线中的应用。
Bone Joint J. 2014 Aug;96-B(8):1052-61. doi: 10.1302/0301-620X.96B8.33747.
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Advances in total knee arthroplasty.
J Knee Surg. 2014 Jun;27(3):169-70. doi: 10.1055/s-0034-1376335. Epub 2014 May 9.
5
Fibula head is a useful landmark to predict the location of posterior cruciate ligament footprint prior to total knee arthroplasty.腓骨头是预测全膝关节置换术前后交叉韧带止点位置的有用标志。
Int Orthop. 2014 Feb;38(2):267-72. doi: 10.1007/s00264-013-2100-5. Epub 2013 Sep 18.
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Boomerang proximal tibial osteotomy for the treatment of severe varus gonarthrosis.“Boomerang”胫骨近端截骨术治疗严重内翻型膝骨关节炎。
Int Orthop. 2013 Jun;37(6):1055-61. doi: 10.1007/s00264-013-1802-z. Epub 2013 Feb 12.
7
Partial resection of the PCL insertion site during tibial preparation in cruciate-retaining TKA.在保留交叉韧带的 TKA 中,胫骨准备时部分切除 PCL 止点。
Knee Surg Sports Traumatol Arthrosc. 2013 Dec;21(12):2674-9. doi: 10.1007/s00167-012-1997-3. Epub 2012 Apr 22.
8
Total knee replacement with intra-articular resection of bone after malunion of a femoral fracture: can sagittal angulation be corrected?股骨骨折畸形愈合后行全膝关节置换并关节内截骨:矢状面成角能否纠正?
J Bone Joint Surg Br. 2010 Oct;92(10):1392-6. doi: 10.1302/0301-620X.92B10.24551.
9
Varus gonarthrosis predisposes to varus malalignment in TKA.膝内翻性骨关节炎使 TKA 更容易发生膝内翻畸形。
HSS J. 2009 Sep;5(2):143-8. doi: 10.1007/s11420-009-9118-7. Epub 2009 May 20.
10
Total knee replacement performed with either a mini-midvastus or a standard approach: a prospective randomised clinical and radiological trial.采用微创股中肌入路或标准入路进行全膝关节置换:一项前瞻性随机临床和放射学试验。
J Bone Joint Surg Br. 2008 May;90(5):584-91. doi: 10.1302/0301-620X.90B5.20122.