Sirois Zachary J, Amin Vibhatsu, Steensen Robert
Mount Carmel Health System, Department of Orthopedic Surgery, Columbus, OH, USA.
Arthroplast Today. 2025 Mar 4;32:101653. doi: 10.1016/j.artd.2025.101653. eCollection 2025 Apr.
In planning total knee arthroplasty (TKA), preoperative radiographs may show calcific bodies in the posterior soft tissues of the knee. We describe a technique in which they can be removed without making a separate skin incision during TKA after femoral and tibial bone resection. This technique involves probing the posteromedial capsule with a clamp to identify the opening to a popliteal cyst. Once identified, the opening is tensioned and incised to allow removal of the loose bodies. If retained, these loose bodies can be a source of patient dissatisfaction, particularly since they are sometimes palpable to the patient. This is the first technique to describe removal of such loose bodies during routine TKA without an additional incision.
在计划全膝关节置换术（TKA）时，术前X线片可能显示膝关节后方软组织中有钙化体。我们描述了一种技术，在股骨和胫骨骨切除后的TKA过程中，无需另做皮肤切口即可将其取出。该技术包括用夹子探查后内侧关节囊以确定腘窝囊肿的开口。一旦确定开口，将其拉紧并切开，以便取出游离体。如果这些游离体残留，可能会导致患者不满，尤其是因为患者有时能摸到它们。这是首次描述在常规TKA过程中无需额外切口取出此类游离体的技术。
