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本文引用的文献

1
A simple technique to perform total knee replacement without violating the femoral canal: early clinical results on a cohort of 303 patients.一种在不侵犯股骨髓腔的情况下进行全膝关节置换的简单技术：303例患者队列的早期临床结果
Eur J Orthop Surg Traumatol. 2020 Dec;30(8):1377-1382. doi: 10.1007/s00590-020-02711-5. Epub 2020 Jun 9.
2
The primary total knee arthroplasty: a global analysis.初次全膝关节置换术：全球分析。
J Orthop Surg Res. 2020 May 26;15(1):190. doi: 10.1186/s13018-020-01707-5.
3
A novel surgical technique to perform total knee arthroplasty in patients with inaccessible femoral medullary canal.一种用于在股骨髓腔难以进入的患者中进行全膝关节置换术的新型手术技术。
J Orthop. 2019 Nov 27;19:102-105. doi: 10.1016/j.jor.2019.11.043. eCollection 2020 May-Jun.
4
Bone resection for mechanically aligned total knee arthroplasty creates frequent gap modifications and imbalances.骨切除在机械对线的全膝关节置换术中会频繁地造成间隙改变和不平衡。
Knee Surg Sports Traumatol Arthrosc. 2020 May;28(5):1532-1541. doi: 10.1007/s00167-019-05562-8. Epub 2019 Jun 14.
5
Femoral Component Alignment with a New Extramedullary Femoral Cutting Guide Technique.采用新型髓外股骨截骨导向技术进行股骨部件对线
Indian J Orthop. 2019 Mar-Apr;53(2):276-281. doi: 10.4103/ortho.IJOrtho_119_17.
6
Extramedullary versus intramedullary femoral alignment technique in total knee arthroplasty: a meta-analysis of randomized controlled trials.全膝关节置换术中股骨骨髓外与骨髓内对线技术：一项随机对照试验的荟萃分析
J Orthop Surg Res. 2017 Jun 5;12(1):82. doi: 10.1186/s13018-017-0582-3.
7
Coronal alignment after total knee arthroplasty.全膝关节置换术后的冠状面排列
EFORT Open Rev. 2017 Mar 13;1(1):12-17. doi: 10.1302/2058-5241.1.000002. eCollection 2016 Jan.
8
Accuracy of a novel extramedullary femoral alignment guide system in primary total knee arthroplasty.一种新型股骨髓外对线引导系统在初次全膝关节置换术中的准确性
Arch Orthop Trauma Surg. 2015 Dec;135(12):1743-8. doi: 10.1007/s00402-015-2318-3. Epub 2015 Sep 20.
9
What is the optimal alignment of the tibial and femoral components in knee arthroplasty?在膝关节置换术中，胫骨和股骨组件的最佳对线是怎样的？
Acta Orthop. 2014 Sep;85(5):480-7. doi: 10.3109/17453674.2014.940573. Epub 2014 Jul 18.
10
Femoral shaft bowing in the coronal plane has more significant effect on the coronal alignment of TKA than proximal or distal variations of femoral shape.股骨干在冠状面的成角对全膝关节置换术（TKA）的冠状面力线的影响比股骨近端或远端形态变化更为显著。
Knee Surg Sports Traumatol Arthrosc. 2015 Jul;23(7):1936-42. doi: 10.1007/s00167-014-3006-5. Epub 2014 Apr 24.

全膝关节置换术中的股骨髓外对线系统：与内翻严重程度及不同类型内翻的相关性准确性

Extramedullary femoral alignment system in total knee arthroplasty: Accuracy in relation of severity and different types of varus.

作者信息

Aquili Alberto, Canè Pier Paolo, Fravisini Marco, Farinelli Luca, Procaccini Roberto, Gigante Antonio Pompilio

机构信息

Clinical Orthopaedics, Università Politecnica delle Marche, Ancona, Italy.

Centro di Artroscopia e Chirurgia del Ginocchio, Clinica "Sol et Salus", Rimini, Italy.

出版信息

J Orthop. 2021 Feb 12;24:86-90. doi: 10.1016/j.jor.2021.02.007. eCollection 2021 Mar-Apr.

DOI:10.1016/j.jor.2021.02.007
PMID:33679033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7910404/
Abstract

OBJECTIVES

We assessed the accuracy of an extramedullary guide system for femoral component alignment in TKA.

METHODS

We retrospectively analysed 87 total knee arthroplasties using a newly developed extramedullary guide system.

RESULTS

Correct postoperative coronal plane femoral component, with deviation from neutral alignment by 3° or less, was found in 87% of the study population. The percentages were 100%, 91% and 79% for HKA of 0-3°, 3-10° and >10°respectively.

CONCLUSION

The correct use of the extramedullary guide system allows the restoration of the neutral mechanical axes of the lower limb, especially in cases of limited varus deformity.

摘要

目的

我们评估了一种用于全膝关节置换术（TKA）中股骨组件对线的髓外导向系统的准确性。

方法

我们回顾性分析了87例使用新开发的髓外导向系统进行的全膝关节置换术。

结果

在87%的研究人群中发现术后股骨组件在冠状面正确，与中立对线的偏差在3°或更小。对于髋膝角（HKA）为0 - 3°、3 - 10°和>10°的情况，百分比分别为100%、91%和79%。

结论

正确使用髓外导向系统可恢复下肢的中立机械轴，尤其是在轻度内翻畸形的情况下。