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计算机辅助导航在治疗伴发关节外畸形膝关节骨关节炎全膝关节置换术中的进展。

Progress in Computer-Assisted Navigation for Total Knee Arthroplasty in Treating Knee Osteoarthritis with Extra-Articular Deformity.

机构信息

Graduate School of Kunming Medical University, Kunming, China.

Department of Orthopaedic, 920th Hospital of Joint Logistics Support Force of Chinese People's Liberation Army, Kunming, China.

出版信息

Orthop Surg. 2024 Nov;16(11):2608-2619. doi: 10.1111/os.14216. Epub 2024 Sep 2.

Abstract

Total knee arthroplasty (TKA) is a well-established treatment for end-stage knee osteoarthritis. However, in patients with concomitant extra-articular deformities, conventional TKA techniques may lead to unsatisfactory outcomes and higher complication rates. This review summarizes the application of navigated TKA for treating knee osteoarthritis with extra-articular deformities. The principles and potential benefits of computer navigation systems, including improved component alignment, soft tissue balancing, and restoration of mechanical axis, are discussed. Research studies demonstrate that navigated TKA can effectively correct deformities, relieve pain, and improve postoperative joint function and quality of life compared with conventional methods. The advantages of navigated TKA in terms of surgical precision, lower complication rates, and superior functional recovery are highlighted. Despite challenges like the learning curve and costs, navigated TKA is an increasingly indispensable tool for achieving satisfactory outcomes in TKA for knee osteoarthritis patients with extra-articular deformities.

摘要

全膝关节置换术(TKA)是治疗膝关节晚期骨关节炎的成熟方法。然而,对于伴发的关节外畸形患者,传统的 TKA 技术可能导致不满意的结果和更高的并发症发生率。本综述总结了计算机导航 TKA 在治疗伴发关节外畸形的膝关节骨关节炎中的应用。讨论了计算机导航系统的原则和潜在益处,包括改善组件对线、软组织平衡和恢复机械轴。研究表明,与传统方法相比,导航 TKA 可有效矫正畸形、缓解疼痛,并改善术后关节功能和生活质量。导航 TKA 在手术精度、较低的并发症发生率和更好的功能恢复方面的优势得到了强调。尽管存在学习曲线和成本等挑战,但导航 TKA 是实现膝关节骨关节炎伴发关节外畸形患者 TKA 满意结果的不可或缺的工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c156/11541116/0316f908dc8a/OS-16-2608-g002.jpg

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