Nuelle Clayton W, Stannard James P
Department of Orthopaedic Surgery, University of Missouri, 1100 Virginia Avenue, DC953.00, Columbia, MO 65212. E-mail address for J.P. Stannard:
JBJS Essent Surg Tech. 2014 Jan 22;4(1):e2. doi: 10.2106/JBJS.ST.M.00062. eCollection 2014 Mar.
The Compass Knee Hinge can be a useful part of the treatment regimen for highly unstable knee dislocations.
STEP 1 INITIAL ALIGNMENT OF WIRES: Make sure to place the centering wire at the isometric point of the knee.
STEP 2 PLACEMENT OF THE COMPASS KNEE HINGE: Take the necessary steps to place the Compass Knee Hinge over the wire.
STEP 3 APPLICATION OF THE COMPASS KNEE HINGE WITH CONCURRENT PROCEDURES: If repair or reconstruction of either the posteromedial or the posterolateral corner is part of the planned surgical procedure, place the centering wire prior to the repair or reconstruction of the injured corner.
STEP 4 POSTOPERATIVE PROTOCOL: Postoperatively, use progressive protocols to enable the patient to regain knee motion following the application of the hinge.
The above technique was used to treat fifty-five patients with a total of fifty-six knee dislocations who had various concurrent ligamentous reconstructions.IndicationsContraindicationsPitfalls & Challenges.
指南针膝关节铰链对于高度不稳定的膝关节脱位而言，可能是治疗方案中的一个有用部分。
步骤1 钢丝的初始对线：务必将对中钢丝置于膝关节的等距点处。
步骤2 指南针膝关节铰链的放置：采取必要步骤将指南针膝关节铰链置于钢丝上方。
步骤3 指南针膝关节铰链与同期手术的应用：如果计划的手术操作包括后内侧或后外侧角的修复或重建，在修复或重建受伤角之前放置对中钢丝。
步骤4 术后方案：术后，采用循序渐进的方案使患者在应用铰链后恢复膝关节活动度。
上述技术用于治疗55例患者，共56例膝关节脱位，这些患者同时进行了各种韧带重建。适应证、禁忌证、陷阱与挑战。
