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本文引用的文献

1
The relationship between anteroposterior stability and medial-lateral stability of the bi-cruciate stabilized total knee arthroplasty.双交叉韧带稳定型全膝关节置换术中前后稳定性与内外侧稳定性之间的关系。
Knee. 2018 Dec;25(6):1247-1253. doi: 10.1016/j.knee.2018.08.002. Epub 2018 Nov 7.
2
Patient Satisfaction After Total Knee Replacement: A Systematic Review.全膝关节置换术后的患者满意度：一项系统评价
HSS J. 2018 Jul;14(2):192-201. doi: 10.1007/s11420-018-9614-8. Epub 2018 Jun 5.
3
The Influence of Postoperative Knee Stability on Patient Satisfaction in Cruciate-Retaining Total Knee Arthroplasty.保留交叉韧带的全膝关节置换术后膝关节稳定性对患者满意度的影响。
J Arthroplasty. 2018 Aug;33(8):2475-2479. doi: 10.1016/j.arth.2018.03.017. Epub 2018 Mar 16.
4
Comparison of Intraoperative Soft Tissue Balance Between Cruciate-Retaining and Posterior-Stabilized Total Knee Arthroplasty Performed by a Newly Developed Medial Preserving Gap Technique.新型内侧保留间隙技术行保留后交叉韧带和后稳定型全膝关节置换术的术中软组织平衡比较。
J Arthroplasty. 2018 Mar;33(3):729-734. doi: 10.1016/j.arth.2017.09.070. Epub 2017 Oct 12.
5
Medial rather than lateral knee instability correlates with inferior patient satisfaction and knee function after total knee arthroplasty.全膝关节置换术后，膝关节内侧而非外侧不稳定与患者满意度较低及膝关节功能较差相关。
Knee. 2017 Dec;24(6):1478-1484. doi: 10.1016/j.knee.2017.09.004. Epub 2017 Sep 29.
6
Postoperative Anteroposterior Laxity Influences Subjective Outcome After Total Knee Arthroplasty.全膝关节置换术后前后向松弛度影响主观预后
J Arthroplasty. 2017 Jun;32(6):1845-1849. doi: 10.1016/j.arth.2016.12.043. Epub 2016 Dec 29.
7
Bi-cruciate substituting total knee arthroplasty improved medio-lateral instability in mid-flexion range.双交叉替代全膝关节置换术改善了膝关节在中屈曲范围内的内外侧不稳定。
J Orthop. 2017 Jan 7;14(1):201-206. doi: 10.1016/j.jor.2016.12.005. eCollection 2017 Mar.
8
Association between anteroposterior laxity in mid-range flexion and subjective healing of instability after total knee arthroplasty.全膝关节置换术后中程屈曲时前后向松弛度与不稳定主观愈合之间的关联。
Knee Surg Sports Traumatol Arthrosc. 2017 Nov;25(11):3543-3548. doi: 10.1007/s00167-016-4375-8. Epub 2016 Nov 9.
9
Mobile-bearing TKA improved the anteroposterior joint stability in mid-flexion range comparing to fixed-bearing TKA.与固定平台全膝关节置换术相比，活动平台全膝关节置换术在膝关节中度屈曲范围内改善了前后向关节稳定性。
Arch Orthop Trauma Surg. 2016 Nov;136(11):1601-1606. doi: 10.1007/s00402-016-2567-9. Epub 2016 Sep 13.
10
Patient Satisfaction after Total Knee Arthroplasty.全膝关节置换术后的患者满意度
Knee Surg Relat Res. 2016 Mar;28(1):1-15. doi: 10.5792/ksrr.2016.28.1.1. Epub 2016 Feb 29.

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.

DOI:10.1016/j.jor.2020.10.008
PMID:33093754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7557966/
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。