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全膝关节置换术后同种异体移植物重建伸肌机制:当前实践综述

Extensor Mechanism Reconstruction Using Allograft Following Total Knee Arthroplasty: A Review of Current Practice.

作者信息

Sain Arnab, Bansal Hemant, Pattabiraman Kirubakaran, Muellner Maximilian, Muellner Thomas

机构信息

Orthopaedics, All India Institute of Medical Sciences, New Delhi, IND.

Orthopaedics, Evangelisches Krankenhaus, Vienna, AUT.

出版信息

Cureus. 2021 Jan 20;13(1):e12803. doi: 10.7759/cureus.12803.

Abstract

The disruption of the extensor mechanism/apparatus of the knee is a dreaded complication following Total Knee Arthroplasty (TKA). Fresh frozen allograft containing the patella, and peripatellar musculotendinous attachments has emerged as an ideal alternative or salvageable option for the efficient reconstruction of extensor mechanism disrupted following TKA, where repair is almost impossible. However, any allograft implantation is associated with certain complications and extensor apparatus allograft is not the exception. Despite being allogenic, reconstruction of the extensor mechanism of the knee using allograft has given promising results. This narrative review aims to elaborate on the current application of allograft in the reconstruction of the disrupted extensor mechanism following TKA.

摘要

膝关节伸肌机制/装置的破坏是全膝关节置换术(TKA)后令人担忧的并发症。含有髌骨及髌周肌肉肌腱附着点的新鲜冷冻同种异体移植物,已成为TKA后伸肌机制破坏且几乎无法修复时,进行有效重建的理想替代或挽救选择。然而,任何同种异体移植物植入都伴有某些并发症,伸肌装置同种异体移植也不例外。尽管是同种异体的,但使用同种异体移植物重建膝关节伸肌机制已取得了令人鼓舞的结果。本叙述性综述旨在详细阐述同种异体移植物在TKA后重建受损伸肌机制中的当前应用。

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