Aglietti P, Rinonapoli E
Ital J Orthop Traumatol. 1977 Aug;3(2):139-53.
(1) Our Total Condylar knee prosthesis can be adapted to cases of severe deformity, either varus or valgus, and to flexion contracture. (2) The technique of mobilization and sliding of the capsulo-ligamentous structures on the contracted side is necessary in cases with severe deformity. (3) After mobilization of the contracted structures it is necessary, before sectioning the bone, to distract the joint in flexion as well as extension in order to achieve stability both in the sagittal and frontal planes. (4) Despite the removal of the cruciate ligaments and capsulo-ligamentous slide, no significant residual instability was found in either plane.
(1) 我们的全髁膝关节假体可适用于严重畸形的病例,包括内翻或外翻畸形以及屈曲挛缩。(2) 对于严重畸形的病例,在挛缩侧进行关节囊韧带结构的松动和滑动技术是必要的。(3) 在挛缩结构松动后,在截骨之前,有必要在屈曲和伸展位牵引关节,以在矢状面和额状面都获得稳定性。(4) 尽管切除了交叉韧带并进行了关节囊韧带滑动,但在任何一个平面均未发现明显的残余不稳定。