Nogueira João Bosco Sales, Carvalho Abrahão Cavalcante Gomes de Souza, Barros Filho Edgar Marçal de, Araújo Leonardo Heráclio do Carmo, Bezerra Marcelo José Cortez, Leite José Alberto Dias
Departamento de Pós-graduação, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brazil.
Centro Universitário Christus, Fortaleza, CE, Brazil.
Rev Bras Ortop. 2018 Sep 19;53(6):792-796. doi: 10.1016/j.rboe.2018.09.001. eCollection 2018 Nov-Dec.
For decades, the main cause of failure in total knee arthroplasty (TKA) is still the malalignment of prosthetic components. The authors present a case of advanced knee arthrosis, treated by TKA. Preoperative planning was performed with a mobile application and the patient was submitted to primary TKA using an implant developed with inspiration from the theory of "modified GAP" with a rotated tibial tray. Neutral mechanical alignment of the lower limbs was obtained and the application proved to be viable regarding its proposed plan for this case.
几十年来,全膝关节置换术(TKA)失败的主要原因仍然是假体组件排列不齐。作者介绍了一例晚期膝关节骨性关节炎患者,采用TKA进行治疗。术前使用移动应用程序进行规划,并使用一款受“改良GAP”理论启发开发的带有旋转胫骨托的植入物对患者实施初次TKA。实现了下肢的中立机械对线,并且该应用程序在针对此病例的拟议计划方面被证明是可行的。