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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.

DOI:10.1016/j.jor.2020.01.016
PMID:32025149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6997515/
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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Linked Anatomic Kinematic Arthroplasty: A Unique Approach to Balancing in Total Knee Arthroplasty.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。
J Orthop. 2020 Jan 14;20:198-203. doi: 10.1016/j.jor.2020.01.016. eCollection 2020 Jul-Aug.
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本文引用的文献

1
Comparison of Functional Outcomes of Computer-Assisted vs Conventional Total Knee Arthroplasty: A Systematic Review and Meta-Analysis of High-Quality, Prospective Studies.计算机辅助与常规全膝关节置换术的功能结局比较:高质量、前瞻性研究的系统评价和荟萃分析。
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
Early Outcomes of Kinematic Alignment in Primary Total Knee Arthroplasty: A Meta-Analysis of the Literature.初次全膝关节置换术中运动学对线的早期结果:文献的荟萃分析
J Arthroplasty. 2017 Jun;32(6):2028-2032.e1. doi: 10.1016/j.arth.2017.02.041. Epub 2017 Feb 27.
4
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.
5
Mechanical, Anatomical, and Kinematic Axis in TKA: Concepts and Practical Applications.全膝关节置换术中的机械轴、解剖轴和运动轴:概念与实际应用。
Curr Rev Musculoskelet Med. 2014 Jun;7(2):89-95. doi: 10.1007/s12178-014-9218-y.
6
Older Adults without Radiographic Knee Osteoarthritis: Knee Alignment and Knee Range of Motion.无膝关节影像学骨关节炎的老年人:膝关节对线与膝关节活动范围
Clin Med Insights Arthritis Musculoskelet Disord. 2014 Jan 12;7:1-11. doi: 10.4137/CMAMD.S13009.
7
Accurate alignment and high function after kinematically aligned TKA performed with generic instruments.使用通用器械进行运动学对线的全膝关节置换术后的精确对线和高功能。
Knee Surg Sports Traumatol Arthrosc. 2013 Oct;21(10):2271-80. doi: 10.1007/s00167-013-2621-x. Epub 2013 Aug 15.
8
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。
Clin Orthop Relat Res. 2012 Jan;470(1):45-53. doi: 10.1007/s11999-011-1936-5.
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Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?全膝关节置换术后患者满意度:谁满意,谁不满意?
Clin Orthop Relat Res. 2010 Jan;468(1):57-63. doi: 10.1007/s11999-009-1119-9.
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The John Insall Award: Both morphotype and gender influence the shape of the knee in patients undergoing TKA.约翰·英索尔奖:在接受 TKA 的患者中,形态和性别都会影响膝关节的形状。
Clin Orthop Relat Res. 2010 Jan;468(1):29-36. doi: 10.1007/s11999-009-1016-2. Epub 2009 Aug 8.