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How New Technologies Will Transform Total Knee Arthroplasty from a Singular Surgical Procedure to a Holistic Standardized Process.新技术将如何把全膝关节置换术从单一的外科手术转变为一个整体的标准化流程。
J Clin Med. 2025 Apr 30;14(9):3102. doi: 10.3390/jcm14093102.
2
Patellofemoral Arthroplasty.髌股关节置换术
J Am Acad Orthop Surg. 2023 Oct 1;31(19):1009-1017. doi: 10.5435/JAAOS-D-23-00022. Epub 2023 Jun 26.
3
Epidemiology of primary and revision total knee arthroplasty: analysis of demographics, comorbidities and outcomes from the national inpatient sample.初次及翻修全膝关节置换术的流行病学:来自国家住院患者样本的人口统计学、合并症及结局分析
Arthroplasty. 2023 Apr 2;5(1):18. doi: 10.1186/s42836-023-00175-6.
4
Epidemiology of Revision Total Knee Arthroplasty in the United States, 2012 to 2019.2012年至2019年美国全膝关节置换翻修术的流行病学
Arthroplast Today. 2022 May 21;15:188-195.e6. doi: 10.1016/j.artd.2022.03.004. eCollection 2022 Jun.
5
Racial Disparities in Elective Total Joint Arthroplasty for Osteoarthritis.骨关节炎择期全关节置换术中的种族差异
ACR Open Rheumatol. 2022 Apr;4(4):306-311. doi: 10.1002/acr2.11399. Epub 2022 Jan 5.
6
Current concepts in total knee arthroplasty : mechanical, kinematic, anatomical, and functional alignment.全膝关节置换术的当前概念:力学、运动学、解剖学和功能对线
Bone Jt Open. 2021 Jun;2(6):397-404. doi: 10.1302/2633-1462.26.BJO-2020-0162.R1.
7
Tibial bone loss in revision TKA: Options for management without sleeves and cones -a schematic review.全膝关节置换翻修术中的胫骨骨丢失:无套筒和锥体情况下的处理选择——示意图综述
J Orthop. 2021 Jan 17;23:191-198. doi: 10.1016/j.jor.2020.12.017. eCollection 2021 Jan-Feb.
8
Restricted kinematic alignment leads to uncompromised osseointegration of cementless total knee arthroplasty.限制运动对线可实现非骨水泥全膝关节置换的骨整合而不妥协。
Knee Surg Sports Traumatol Arthrosc. 2022 Feb;30(2):705-712. doi: 10.1007/s00167-020-06427-1. Epub 2021 Jan 16.
9
Classification of combined partial knee arthroplasty.膝关节部分联合置换的分类。
Bone Joint J. 2019 Aug;101-B(8):922-928. doi: 10.1302/0301-620X.101B8.BJJ-2019-0125.R1.
10
Update on unicompartmental knee arthroplasty: Current indications and failure modes.单髁膝关节置换术的最新进展:当前适应症及失败模式
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膝关节置换类型:多学科医疗团队的教育框架

Knee Arthroplasty Types: An Educational Framework for Multidisciplinary Healthcare Teams.

作者信息

Mahajan Uday, Akhtar Meraj, Sain Baijaeek, Sain Arnab

机构信息

Trauma and Orthopaedics, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.

Trauma and Orthopaedics, Lincoln County Hospital, Lincoln, GBR.

出版信息

Cureus. 2025 Jul 31;17(7):e89127. doi: 10.7759/cureus.89127. eCollection 2025 Jul.

DOI:10.7759/cureus.89127
PMID:40895918
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12398274/
Abstract

Knee arthroplasty is a widely performed surgical procedure that significantly improves the quality of life for patients with advanced knee joint diseases. However, many multidisciplinary healthcare professionals lack a clear understanding of the types and subtypes of knee arthroplasty, which is essential for effective perioperative care and rehabilitation planning. This narrative review categorises knee arthroplasty into three main types: total knee arthroplasty, partial knee arthroplasty, and revision knee arthroplasty. Total knee arthroplasty remains the most common procedure, with subtypes based on implant constraint, fixation method, bearing surface, alignment philosophy, surgical approach, and technological aids. Partial knee arthroplasty includes unicompartmental and patellofemoral replacements, offering faster recovery and more natural knee kinematics in appropriately selected patients, although with higher revision rates. Revision knee arthroplasty addresses failed implants using one-stage or two-stage procedures with specialised components such as constrained condylar and hinged implants, stem extensions, augments, and megaprostheses, but carries higher surgical complexity and complication risks. This educational framework aims to enhance multidisciplinary understanding of knee arthroplasty procedures, supporting better communication, patient education, and rehabilitation planning. Future research should validate its impact in educational settings and explore ongoing innovations in implant designs and surgical technologies to optimise patient outcomes.

摘要

膝关节置换术是一种广泛开展的外科手术,能显著提高晚期膝关节疾病患者的生活质量。然而,许多多学科医疗保健专业人员对膝关节置换术的类型和亚型缺乏清晰的认识,而这对于有效的围手术期护理和康复计划至关重要。本叙述性综述将膝关节置换术分为三种主要类型:全膝关节置换术、部分膝关节置换术和翻修膝关节置换术。全膝关节置换术仍然是最常见的手术,其亚型基于植入物的限制、固定方法、承重表面、对线理念、手术入路和技术辅助手段。部分膝关节置换术包括单髁置换和髌股关节置换,在适当选择的患者中能实现更快的恢复和更自然的膝关节运动学,尽管翻修率较高。翻修膝关节置换术使用一期或二期手术处理失败的植入物,采用特殊部件,如限制性髁和铰链式植入物、柄部延长件、增强物和大型假体,但手术复杂性和并发症风险更高。这个教育框架旨在增强多学科对膝关节置换术的理解,支持更好的沟通、患者教育和康复计划。未来的研究应验证其在教育环境中的影响,并探索植入物设计和手术技术的持续创新,以优化患者预后。