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优化全膝关节置换术中的位置与稳定性

Optimising position and stability in total knee arthroplasty.

作者信息

Victor Jan

机构信息

Ghent University, Department of Orthopaedics and Traumatology, Ghent, Belgium.

出版信息

EFORT Open Rev. 2017 May 11;2(5):215-220. doi: 10.1302/2058-5241.2.170001. eCollection 2017 May.

DOI:10.1302/2058-5241.2.170001
PMID:28630758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5467672/
Abstract

Alignment and stability are two key factors for success in total knee arthroplasty (TKA). Several techniques have been advocated, the two best known being measured resection and tensioned gaps.Dogma and fuzzy wording have cast an obscure shadow on the dualistic discussion between proponents of both techniques.This review is an attempt to clarify definitions, analyse the flaws and pitfalls in the different techniques and make some suggestions for improvement. Cite this article: 2017;2. DOI: 10.1302/2058-5241.2.170001. Originally published online at www.efortopenreviews.org.

摘要

对线和稳定性是全膝关节置换术（TKA）成功的两个关键因素。已经提出了几种技术，其中最著名的两种是测量截骨术和张力间隙法。教条主义和模糊的措辞给这两种技术的支持者之间的二元讨论蒙上了一层模糊的阴影。本综述旨在澄清定义，分析不同技术中的缺陷和陷阱，并提出一些改进建议。引用本文：2017；2。DOI：10.1302/2058-5241.2.170001。最初在线发表于www.efortopenreviews.org。

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本文引用的文献

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Predicting dissatisfaction following total knee arthroplasty in patients under 55 years of age.预测55岁以下患者全膝关节置换术后的不满情绪。
Bone Joint J. 2016 Dec;98-B(12):1625-1634. doi: 10.1302/0301-620X.98B12.BJJ-2016-0375.R1.
2
Imaging the implant-soft tissue interactions in total knee arthroplasty.全膝关节置换术中植入物与软组织相互作用的成像
J Exp Orthop. 2016 Dec;3(1):24. doi: 10.1186/s40634-016-0061-5. Epub 2016 Oct 3.
3
Current failure mechanisms after knee arthroplasty have changed: polyethylene wear is less common in revision surgery.
在采用屈膝平衡技术的全膝关节置换术中，恢复内侧膝关节解剖结构对膝关节中屈松弛度和功能结果的影响。
BMC Musculoskelet Disord. 2021 Dec 9;22(1):1029. doi: 10.1186/s12891-021-04869-3.
4
Can the need for soft tissue release in total knee replacement be predicted pre-operatively? A study based on surgical navigation.全膝关节置换术中是否需要软组织松解可以术前预测吗？一项基于手术导航的研究。
Int Orthop. 2022 Apr;46(4):815-821. doi: 10.1007/s00264-021-05263-3. Epub 2021 Nov 24.
5
Functional stability: an experimental knee joint cadaveric study on collateral ligaments tension.功能稳定性：对侧副韧带张力的实验膝关节尸体研究。
Arch Orthop Trauma Surg. 2022 Jun;142(6):1213-1220. doi: 10.1007/s00402-021-03966-1. Epub 2021 May 27.
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Correlation of quality of life with instrumented analysis of a total knee arthroplasty series at the long-term follow-up.全膝关节置换系列长期随访中生活质量与器械分析的相关性
Eur J Orthop Surg Traumatol. 2021 Aug;31(6):1171-1177. doi: 10.1007/s00590-020-02867-0. Epub 2021 Jan 8.
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Primary constrained and hinged total knee arthroplasty: 2- and 5-year revision risk compared with unconstrained total knee arthroplasty: a report on 401 cases from the Norwegian Arthroplasty Register 1994-2017.初次限制型铰链式全膝关节置换术与非限制型全膝关节置换术的 2 年和 5 年翻修风险比较：来自挪威关节置换登记处 1994-2017 年 401 例报告。
Acta Orthop. 2019 Oct;90(5):467-472. doi: 10.1080/17453674.2019.1627638. Epub 2019 Jun 18.
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Proven accuracy for a new dynamic gap measurement in navigated TKA.新型动态间隙测量在导航 TKA 中的准确性得到验证。
Knee Surg Sports Traumatol Arthrosc. 2019 Apr;27(4):1189-1195. doi: 10.1007/s00167-018-4989-0. Epub 2018 May 22.
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5
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Clin Orthop Relat Res. 2014 Jan;472(1):98-104. doi: 10.1007/s11999-013-2898-6.
6
Slight undercorrection following total knee arthroplasty results in superior clinical outcomes in varus knees.全膝关节置换术后轻微矫枉过正可使内翻膝获得更好的临床效果。
Knee Surg Sports Traumatol Arthrosc. 2013 Oct;21(10):2325-30. doi: 10.1007/s00167-013-2481-4. Epub 2013 Apr 4.
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The Chitranjan Ranawat award: is neutral mechanical alignment normal for all patients? The concept of constitutional varus.奇特朗詹·拉纳瓦特奖：所有患者的中立机械对线都正常吗？解剖性内翻的概念。
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Effect of postoperative mechanical axis alignment on the fifteen-year survival of modern, cemented total knee replacements.术后机械轴对线对现代水泥固定全膝关节置换术 15 年生存率的影响。
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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。
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