双交叉韧带稳定型全膝关节置换术中中外侧稳定性对术后矢状面稳定性影响的研究。
Investigation of the effect of intraoperative mediolateral stability on postoperative sagittal stability after bi-cruciate stabilized total knee arthroplasty.
作者信息
Seki Kazushige, Seki Toshihiro, Ogasa Hiroyoshi, Imagama Takashi, Matsuki Yuta, Yamazaki Kazuhiro, Sakai Takashi
机构信息
Department of Orthopedic Surgery, Yamaguchi University Graduate School of Medicine, Yamaguchi, Japan.
出版信息
J Orthop. 2020 Oct 8;22:454-457. doi: 10.1016/j.jor.2020.10.008. eCollection 2020 Nov-Dec.
Abstract
PURPOSE
This study investigated the effect of mediolateral stability on sagittal stability in bi-cruciate stabilized total knee arthroplasty.
METHOD
This study included 59 patients. We intraoperatively assessed the component gap with a joint distraction force of 60 N for each compartment. Immediately after surgery, sagittal stability was assessed using an arthrometer.
RESULT
The intraoperative medial joint laxity at 30° of flexion was significantly correlated with postoperative anteroposterior translation (r = 0.276, p < 0.05).
CONCLUSION
This study demonstrated the effect of intraoperative mediolateral stability effect on postoperative sagittal stability. Improving medial stability may enhance postoperative sagittal stability.
摘要
目的
本研究调查了在双交叉韧带稳定型全膝关节置换术中，内外侧稳定性对矢状面稳定性的影响。
方法
本研究纳入了59例患者。我们在术中用60N的关节牵张力评估每个关节间室的组件间隙。术后立即使用关节测量仪评估矢状面稳定性。
结果
术中屈膝30°时的内侧关节松弛度与术后前后向移位显著相关（r = 0.276，p < 0.05）。
结论
本研究证明了术中内外侧稳定性对术后矢状面稳定性的影响。改善内侧稳定性可能会增强术后矢状面稳定性。
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