关联解剖运动型关节置换术：全膝关节置换术中平衡的独特方法。
Linked Anatomic Kinematic Arthroplasty: A Unique Approach to Balancing in Total Knee Arthroplasty.
作者信息
Stake Seth, Fassihi Safa C, Gu Alex, Burns James, Thomas George, Argintar Evan H, Sadr Kamran
机构信息
Department of Orthopedic Surgery, George Washington Hospital, 2300 M St, Washington, DC, 20037, USA.
Department of Orthopedic Surgery, Georgetown University School of Medicine, 3800 Reservoir Rd NW, Washington, DC, 20007, USA.
出版信息
J Orthop. 2020 Jan 14;20:198-203. doi: 10.1016/j.jor.2020.01.016. eCollection 2020 Jul-Aug.
Abstract
Traditional approaches to total knee arthroplasty (TKA) aim to reestablish a neutral mechanical axis of the lower extremity. However, many studies have shown great variation in normal knee anatomy, suggesting that the ideal alignment may not be identical for every patient. Linked Anatomic Kinematic Arthroplasty (LAKA) offers a novel kinematic approach to TKA. Using computer navigation, LAKA technique can optimize the kinematic alignment while ensuring that coronal alignment is kept within standard mechanical ranges. This article will outline the surgical approach to LAKA and briefly review the outcomes of this approach.
摘要
传统的全膝关节置换术（TKA）方法旨在重建下肢的中立机械轴。然而，许多研究表明正常膝关节解剖结构存在很大差异，这表明理想的对线可能并非对每个患者都相同。联合解剖运动型关节置换术（LAKA）为TKA提供了一种新颖的运动学方法。使用计算机导航，LAKA技术可以优化运动学对线，同时确保冠状面的对线保持在标准机械范围内。本文将概述LAKA的手术方法，并简要回顾该方法的治疗结果。
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J Arthroplasty. 2019 Mar;34(3):586-593. doi: 10.1016/j.arth.2018.11.028. Epub 2018 Dec 2.
2
Effect of Postoperative Mechanical Axis Alignment on Survival and Functional Outcomes of Modern Total Knee Arthroplasties with Cement: A Concise Follow-up at 20 Years.术后机械轴对线对现代全膝关节置换术（骨水泥型）的生存和功能结果的影响：20 年的简短随访。
J Bone Joint Surg Am. 2018 Mar 21;100(6):472-478. doi: 10.2106/JBJS.16.01587.
3
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J Arthroplasty. 2017 Jun;32(6):2028-2032.e1. doi: 10.1016/j.arth.2017.02.041. Epub 2017 Feb 27.
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Kinematic TKA using navigation: Surgical technique and initial results.使用导航的运动学全膝关节置换术：手术技术及初步结果。
Orthop Traumatol Surg Res. 2016 Feb;102(1):99-104. doi: 10.1016/j.otsr.2015.11.010. Epub 2016 Jan 6.
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6
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