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全膝关节置换术脱位。6例报告及2种不稳定模式

Dislocation of total knee arthroplasty. A report of 6 cases with 2 patterns of instability.

作者信息

Wang C J, Wang H E

机构信息

Department of Orthopedic Surgery, Chung Gung Memorial Hospital at Kaoshiung, Niao Sung Hsiang, Kaoshiung Hsien, Taiwan.

出版信息

Acta Orthop Scand. 1997 Jun;68(3):282-5. doi: 10.3109/17453679708996702.

DOI:10.3109/17453679708996702
PMID:9246994
Abstract

We report 6 cases of dislocation of total knee arthroplasty (TKA). We identified 2 patterns of instability in the sagittal plane, one with posterior translation of the tibia, occurring mainly in the postoperative period and usually resulting from a trauma, and the other with anterior translation of the tibia, occurring 6 months to 7 years postoperatively and with no preceding trauma. In the latter group, instability was manifested gradually as a lengthening of the posterior cruciate ligament and the posterior capsule, leading to a recurvatum deformity of the knee.

摘要

我们报告了6例全膝关节置换术(TKA)脱位的病例。我们在矢状面确定了2种不稳定模式,一种是胫骨后移,主要发生在术后,通常由创伤引起;另一种是胫骨前移,发生在术后6个月至7年,且无先前创伤史。在后一组中,不稳定逐渐表现为后交叉韧带和后关节囊延长,导致膝关节反屈畸形。

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