热门话题：全膝关节置换术中的对线——系统对线策略与更个体化对线策略 - Suppr

Hot topic: alignment in total knee arthroplasty-systematic versus more individualised alignment strategies.

作者信息

Hirschmann Michael T, Karlsson Jon, Becker Roland

机构信息

Department of Orthopaedic Surgery and Traumatology, Kantonsspital Baselland (Bruderholz, Liestal, Laufen), 4101, Bruderholz, Switzerland.

University of Basel, Basel, Switzerland.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1587-1588. doi: 10.1007/s00167-018-4946-y. Epub 2018 Apr 21.

DOI:10.1007/s00167-018-4946-y

PMID:29680906

Abstract

摘要

相似文献

Hot topic: alignment in total knee arthroplasty-systematic versus more individualised alignment strategies.热门话题：全膝关节置换术中的对线——系统对线策略与更个体化对线策略

Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1587-1588. doi: 10.1007/s00167-018-4946-y. Epub 2018 Apr 21.

A randomised controlled trial of kinematically and mechanically aligned total knee replacements: two-year clinical results.随机对照试验研究运动学和机械对线的全膝关节置换术：两年的临床结果。

Bone Joint J. 2014 Jul;96-B(7):907-13. doi: 10.1302/0301-620X.96B7.32812.

The early outcome of kinematic versus mechanical alignment in total knee arthroplasty: a prospective randomised control trial.全膝关节置换术中运动学与机械对线的早期结果：一项前瞻性随机对照试验。

Bone Joint J. 2016 Oct;98-B(10):1360-1368. doi: 10.1302/0301-620X.98B10.36862.

Alignment in Total Knee Arthroplasty: Where Have We Come From and Where Are We Going?全膝关节置换术中的对线：我们从何而来，又将走向何方？

Surg Technol Int. 2011 Dec;21:183-8.

The Chitranjan S. Ranawat Award : No Difference in 2-year Functional Outcomes Using Kinematic versus Mechanical Alignment in TKA: A Randomized Controlled Clinical Trial.奇特拉詹·S·拉纳瓦特奖：全膝关节置换术中运动学对线与机械对线在2年功能结局上无差异：一项随机对照临床试验

Clin Orthop Relat Res. 2017 Jan;475(1):9-20. doi: 10.1007/s11999-016-4844-x.

Coronal alignment in total knee replacement: historical review, contemporary analysis, and future direction.全膝关节置换中的冠状面对线：历史回顾、当代分析及未来方向。

Bone Joint J. 2014 Jul;96-B(7):857-62. doi: 10.1302/0301-620X.96B7.33946.

How accurate is anatomic limb alignment in predicting mechanical limb alignment after total knee arthroplasty?全膝关节置换术后，解剖学下肢力线在预测机械性下肢力线方面的准确性如何？

BMC Musculoskelet Disord. 2015 Oct 27;16:323. doi: 10.1186/s12891-015-0756-2.

No correlation between coronal alignment of total knee arthroplasty and clinical outcomes: a prospective clinical study using 3D-CT.全膝关节置换冠状面对线与临床结果无相关性：一项使用 3D-CT 的前瞻性临床研究。

Knee Surg Sports Traumatol Arthrosc. 2017 Dec;25(12):3892-3900. doi: 10.1007/s00167-016-4400-y. Epub 2016 Dec 22.

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。

Knee. 2016 Aug;23(4):637-41. doi: 10.1016/j.knee.2015.11.015. Epub 2016 Apr 11.

Do varus or valgus outliers have higher forces in the medial or lateral compartments than those which are in-range after a kinematically aligned total knee arthroplasty? limb and joint line alignment after kinematically aligned total knee arthroplasty.在进行运动学对齐的全膝关节置换术后，内翻或外翻异常值在关节内侧或外侧间室产生的力是否比处于正常范围的情况更大？运动学对齐的全膝关节置换术后的肢体与关节线对齐情况。

Bone Joint J. 2017 Oct;99-B(10):1319-1328. doi: 10.1302/0301-620X.99B10.BJJ-2017-0066.R1.

引用本文的文献

Does Alignment Technique in Medially Stabilized Total Knee Arthroplasty Affect the Patellofemoral Joint Biomechanics and Patient-reported Outcomes at 1 Year? A Prospective Registry-based Cohort Study.内侧稳定型全膝关节置换术中的对线技术会影响髌股关节生物力学及患者1年时的报告结局吗？一项基于前瞻性注册研究的队列研究。

Arthroplast Today. 2025 Jun 26;34:101750. doi: 10.1016/j.artd.2025.101750. eCollection 2025 Aug.

Does the Implantation of a Short-Stem Hip Prosthesis Change the Lower Limb Alignment?-Comparison of Two Modern Short-Stem Designs.短柄髋关节假体的植入会改变下肢力线吗？——两种现代短柄设计的比较。

J Clin Med. 2025 Mar 25;14(7):2240. doi: 10.3390/jcm14072240.

Imageless Robotic Arm-Assisted Total Knee Arthroplasty: Workflow Optimization, Operative Times, and Learning Curve.无影像机器人手臂辅助全膝关节置换术：工作流程优化、手术时间及学习曲线

Cureus. 2025 Feb 11;17(2):e78880. doi: 10.7759/cureus.78880. eCollection 2025 Feb.

Bi-cruciate stabilized total knee arthroplasty restores the native knee alignments better than conventional posterior stabilized total knee arthroplasty.双交叉韧带稳定型全膝关节置换术比传统后稳定型全膝关节置换术能更好地恢复膝关节的自然对线。

Arch Orthop Trauma Surg. 2024 Dec 12;145(1):31. doi: 10.1007/s00402-024-05714-7.

The Distribution of Coronal Plane Alignment of the Knee Classification in a Sample of Spanish Southeast Osteoarthritic Population: A Retrospective Cross-Sectional Observational Study.膝关节冠状面对线分类在西班牙东南部骨关节炎人群中的分布：一项回顾性横断面观察研究。

Medicina (Kaunas). 2024 Oct 2;60(10):1612. doi: 10.3390/medicina60101612.

Unrestricted kinematic alignment corrects fixed flexion contracture in robotically aligned total knees without raising the joint line in extension.无限制运动学对线可纠正机器人辅助对线全膝关节置换术中的固定性屈曲挛缩，且不会在伸直位抬高关节线。

J Exp Orthop. 2023 Nov 11;10(1):114. doi: 10.1186/s40634-023-00670-4.

Ground kinematically aligned total knee arthroplasty: new personalized technique which enables a stable knee with deep flexion.地面运动学对线全膝关节置换术：一种新的个性化技术，可使膝关节在深度屈曲时保持稳定。

Int Orthop. 2023 Sep;47(9):2215-2223. doi: 10.1007/s00264-023-05799-6. Epub 2023 Apr 22.

Targeting the neutral hip-to-calcaneus axis in kinematically aligned total knee arthroplasty is feasible with fewer alignment outliers for varus osteoarthritic patients.在运动学对线的全膝关节置换术中，针对中立髋-跟骨轴，对于内翻性骨关节炎患者，可获得较少的对线偏差。

Knee Surg Sports Traumatol Arthrosc. 2023 Sep;31(9):3880-3888. doi: 10.1007/s00167-023-07306-1. Epub 2023 Mar 15.

Low tibial baseplate migration 1 year after unrestricted kinematically aligned total knee arthroplasty using a medial conforming implant design.使用内侧贴合型植入物设计的无限制运动学对齐全膝关节置换术后1年的胫骨基板低迁移率。

Knee Surg Sports Traumatol Arthrosc. 2023 Apr;31(4):1433-1442. doi: 10.1007/s00167-022-07171-4. Epub 2022 Oct 6.

Ethnical Differences in Knee Phenotypes Indicate the Need for a More Individualized Approach in Knee Arthroplasty: A Comparison of 80 Asian Knees with 308 Caucasian Knees.膝关节表型的种族差异表明膝关节置换术需要更个性化的方法：80例亚洲膝关节与308例白种人膝关节的比较。

J Pers Med. 2022 Jan 17;12(1):121. doi: 10.3390/jpm12010121.

本文引用的文献

Varus tibial alignment is associated with greater tibial baseplate migration at 10 years following total knee arthroplasty.在全膝关节置换术后 10 年，胫骨内翻对线与更大的胫骨基板迁移有关。

Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1610-1617. doi: 10.1007/s00167-017-4765-6. Epub 2017 Nov 16.

Neutral alignment leads to higher knee society scores after total knee arthroplasty in preoperatively non-varus patients: a prospective clinical study using 3D-CT.中立对线可使术前无膝内翻的全膝关节置换术后患者获得更高的膝关节学会评分：一项使用三维 CT 的前瞻性临床研究。

Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1602-1609. doi: 10.1007/s00167-017-4744-y. Epub 2017 Oct 12.

Kinematically aligned total knee arthroplasty limits high tibial forces, differences in tibial forces between compartments, and abnormal tibial contact kinematics during passive flexion.动平衡全膝关节置换术限制了胫骨高位力、各间室间胫骨力的差异，以及被动屈曲时胫骨接触运动学的异常。

Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1589-1601. doi: 10.1007/s00167-017-4670-z. Epub 2017 Sep 7.

Alignment options for total knee arthroplasty: A systematic review.全膝关节置换术的对线选择：一项系统评价。

Orthop Traumatol Surg Res. 2017 Nov;103(7):1047-1056. doi: 10.1016/j.otsr.2017.07.010. Epub 2017 Aug 31.

Kinematic alignment is a possible alternative to mechanical alignment in total knee arthroplasty.在全膝关节置换术中，运动学对线是机械对线的一种可能替代方法。

Knee Surg Sports Traumatol Arthrosc. 2017 Nov;25(11):3467-3479. doi: 10.1007/s00167-017-4558-y. Epub 2017 Apr 24.

The Impact of Coronal Plane Alignment on Polyethylene Wear and Damage in Total Knee Arthroplasty: A Retrieval Study.冠状面排列对全膝关节置换术中聚乙烯磨损及损伤的影响：一项翻修研究

J Arthroplasty. 2017 Jun;32(6):2012-2016. doi: 10.1016/j.arth.2016.12.048. Epub 2017 Jan 4.

Good alignment after total knee arthroplasty leads to faster rehabilitation and better function.全膝关节置换术后良好的对线可带来更快的康复和更好的功能。

J Arthroplasty. 2009 Jun;24(4):570-8. doi: 10.1016/j.arth.2008.03.002. Epub 2008 May 19.

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Hot topic: alignment in total knee arthroplasty-systematic versus more individualised alignment strategies.

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