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运动学对线的当前证据基础。

Current evidence base for kinematic alignment.

作者信息

Tuecking L-R, Savov P, Windhagen H, Ettinger M

机构信息

Department für Endoprothetik, Diakovere Annastift, Orthopädische Klinik der Medizinischen Hochschule Hannover, Anna-von-Borries-Str. 1-6, 30625, Hannover, Germany.

出版信息

Orthopade. 2020 Jul;49(7):584-592. doi: 10.1007/s00132-020-03932-6.

DOI:10.1007/s00132-020-03932-6
PMID:32507940
Abstract

BACKGROUND

Kinematic alignment recently became an alternative alignment option for total knee arthroplasty (TKA). Beside previous studies assessing mechanical alignment in comparison to unintentional malalignment of TKA in terms of implant survival and clinical outcome, more and more studies have focused on the direct comparison of intentional kinematic alignment with mechanical alignment of the prosthesis. In the past 5 years the number of studies with respect to kinematic alignment has risen from 11 to 91 studies.

AIM

The aim of this review article is to give a narrative overview of the current literature in the debate concerning kinematic and mechanical alignment in TKA.

摘要

背景

运动学对线最近成为全膝关节置换术(TKA)的一种替代对线选择。除了之前关于与TKA意外对线不良相比评估机械对线的研究,涉及植入物生存率和临床结果外,越来越多的研究集中在有意运动学对线与假体机械对线的直接比较上。在过去5年中,关于运动学对线的研究数量从11项增加到了91项。

目的

这篇综述文章的目的是对当前关于TKA中运动学对线和机械对线争论的文献进行叙述性综述。

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Current evidence base for kinematic alignment.运动学对线的当前证据基础。
Orthopade. 2020 Jul;49(7):584-592. doi: 10.1007/s00132-020-03932-6.
2
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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。
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引用本文的文献

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本文引用的文献

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Accelerometer-Based Portable Navigation System Is Useful for Tibial Bone Cutting in Modified Kinematically Aligned Total Knee Arthroplasty.基于加速度计的便携式导航系统在改良运动学对线全膝关节置换术中胫骨截骨中具有一定的应用价值。
J Knee Surg. 2021 Jul;34(8):870-876. doi: 10.1055/s-0039-3402481. Epub 2019 Dec 31.
2
Restoring the constitutional alignment with a restrictive kinematic protocol improves quantitative soft-tissue balance in total knee arthroplasty: a randomized controlled trial.采用限制性运动学方案恢复与解剖学一致的膝关节对线可改善全膝关节置换术后的定量软组织平衡:一项随机对照试验。
Bone Joint J. 2020 Jan;102-B(1):117-124. doi: 10.1302/0301-620X.102B1.BJJ-2019-0674.R2.
3
Finite-element analysis of the proximal tibial sclerotic bone and different alignment in total knee arthroplasty.
全膝关节置换术中胫骨近端硬化骨及不同对线的有限元分析
BMC Musculoskelet Disord. 2019 Dec 26;20(1):617. doi: 10.1186/s12891-019-3008-z.
4
Who Will Benefit From Kinematically Aligned Total Knee Arthroplasty? Perspectives on Patient-Reported Outcome Measures.哪些患者将从运动学对线全膝关节置换术中获益?基于患者报告的结局测量指标的观点。
J Arthroplasty. 2020 Feb;35(2):438-442.e2. doi: 10.1016/j.arth.2019.09.035. Epub 2019 Sep 26.
5
Computer-Assisted Kinematic and Mechanical Axis Total Knee Arthroplasty: A Prospective Randomized Controlled Trial of Bilateral Simultaneous Surgery.计算机辅助的运动学和机械轴全膝关节置换术:双侧同期手术的前瞻性随机对照试验。
J Arthroplasty. 2020 Feb;35(2):443-450. doi: 10.1016/j.arth.2019.08.064. Epub 2019 Sep 5.
6
Revision of a Medial UKA to a Kinematic Aligned TKA: Comparison of Operative Complexity, Postoperative Alignment, and Outcome Scores to a Primary TKA.内侧 UKA 向运动学对线 TKA 的翻修:与初次 TKA 的手术复杂性、术后对线和结果评分比较。
J Knee Surg. 2021 Mar;34(4):406-414. doi: 10.1055/s-0039-1696734. Epub 2019 Sep 9.
7
Different targets of mechanical alignment do not improve knee outcomes after TKA.全膝关节置换术后,不同的机械对线目标并不能改善膝关节的预后。
Knee. 2019 Dec;26(6):1395-1402. doi: 10.1016/j.knee.2019.08.004. Epub 2019 Aug 30.
8
Kinematically Aligned TKA Aligns the Ankle Joint Line Closer to Those of the Native Ankle than Mechanically Aligned TKA in Bipedal Stance.在双足站立时,与机械对齐的全膝关节置换术(TKA)相比,运动学对齐的TKA能使踝关节线更接近自然踝关节的关节线。
J Knee Surg. 2019 Oct;32(10):1033-1038. doi: 10.1055/s-0039-1694796. Epub 2019 Aug 21.
9
A randomized controlled trial of tibial component migration with kinematic alignment using patient-specific instrumentation versus mechanical alignment using computer-assisted surgery in total knee arthroplasty.使用患者特异性器械行运动学对线与使用计算机辅助手术行机械对线治疗全膝关节置换术后胫骨组件迁移的随机对照试验。
Bone Joint J. 2019 Aug;101-B(8):929-940. doi: 10.1302/0301-620X.101B8.BJJ-2018-0755.R3.
10
The Effect of Coronal Alignment on Tibial Component Migration Following Total Knee Arthroplasty: A Cohort Study with Long-Term Radiostereometric Analysis Results.冠状面对线对线对全膝关节置换术后胫骨组件迁移的影响:一项具有长期放射学分析结果的队列研究。
J Bone Joint Surg Am. 2019 Jul 3;101(13):1203-1212. doi: 10.2106/JBJS.18.00691.