Aumiller Wade D, Dollahite Harry Anderson
Wade D. Aumiller is a PA student at the University of Texas Rio Grande Valley in Edinburg, Tex. Harry Anderson Dollahite practices orthopedics in Fort Worth, Tex. The authors have disclosed no potential conflicts of interest, financial or otherwise.
JAAPA. 2016 Mar;29(3):27-31. doi: 10.1097/01.JAA.0000480563.76217.ae.
Total knee arthroplasty (TKA) is one of the success stories of modern surgery. Primary TKA is commonly used when nonsurgical treatments for osteoarthritis fail. The need for TKA is projected to increase by 673% between 2005 and 2030, creating a tremendous burden on the healthcare system. This article reviews selected perioperative management strategies, computer-aided navigation, patient-specific cutting blocks, and medial pivot knee implants as potential sources of improvements in clinical efficiency and patient outcomes.
全膝关节置换术（TKA）是现代外科手术的成功案例之一。当骨关节炎的非手术治疗失败时，初次全膝关节置换术通常会被采用。预计在2005年至2030年期间，全膝关节置换术的需求将增长673%，给医疗系统带来巨大负担。本文回顾了选定的围手术期管理策略、计算机辅助导航、定制截骨模块以及内侧旋转铰链膝关节植入物，这些都是提高临床效率和改善患者预后的潜在途径。
