Thomas W, Grundei H
Z Orthop Ihre Grenzgeb. 1979 Feb;117(1):67-76.
In case of complete or partial destruction of articular surfaces of the knee joint where the ligamentous apparatus is present but probably insufficient, alloplastic substitution of the articular surfaces is indicated. To achieve mobility as ideally as possible, it will be necessary to shape the endoprosthetic parts in such a manner that the healthy knee joint is imitated as closely as ever possible. The anatomical GT sledge endoprosthesis Lübeck (Grundei--Thomas) was conceived with this view in mind. To preserve the knee-joint as a functional unit, all of its compartments were taken into consideration, in particular also the articulatio plana, or arthrodial joint. To perform implantation of these endoprosthetic parts without improvisation, the implantates must be prepared in accordance with surgical patterns. The high functional demands made on the knee joint can only be met by completely abandoning the simplified schematic shapes and by producing articular surface substitutes imitating the normal anatomic joints.
在膝关节关节面出现完全或部分破坏,且韧带装置存在但可能不足的情况下,需进行关节面的异体替代。为尽可能理想地实现活动能力,有必要以尽可能紧密模仿健康膝关节的方式来塑造假体部件。吕贝克解剖型GT雪橇式假体(格伦德伊 - 托马斯)就是基于这一观点设计的。为将膝关节作为一个功能单元保留下来,考虑了其所有腔室,特别是平面关节或动关节。为在不进行临时拼凑的情况下植入这些假体部件,植入物必须按照手术模板进行准备。只有完全摒弃简化的示意形状,并制造模仿正常解剖关节的关节面替代物,才能满足对膝关节提出的高功能要求。