膝外翻畸形患者的全膝关节置换手术综述

被引：3

作者：

宣超杰 ^{[1
]}

吕帅洁 ^{[2
]}

童培建 ^{[2
]}

机构：

[1] 浙江中医药大学

[2] 浙江中医药大学附属第一医院

来源：

上海医药 | 2015年 / 36卷 / 07期

关键词：

膝外翻畸形; 全膝关节置换; 综述;

D O I：

暂无

中图分类号：

R687.42 [];

学科分类号：

摘要：

膝外翻畸形常合并有一些骨与软组织的特征性改变,全膝关节置换术旨在矫正外翻畸形,恢复下肢力线。术前负重位的双下肢全长片有助于测量下肢力线与解剖轴关系。手术多采用前内侧入路,切骨时,注意股骨和胫骨的切骨平面、角度和厚度,如有骨缺损,需进行修复。外翻畸形时内外侧软组织失衡,通过松解平衡后恢复关节力线,但是具体软组织松解策略仍有争议。假体选择亦至关重要,直接影响术后疗效和使用寿命等,应结合患者关节及软组织综合考虑。术后注意有无腓总神经损伤,早期功能锻炼,恢复关节活动能力。

引用

收藏

页码：57 / 62

页数：6

相关论文

共 22 条

[1]

全膝关节置换治疗膝关节外翻畸形 [J].

张锐 ;

柳海平 ;

谢兴文 ;

尤从新 ;

王承祥 .

中国组织工程研究, 2014, 18 (09) :1343-1349

[2]

Intramedullary control of distal femoral resection results in precise coronal alignment in TKA [J].

Pfitzner, Tilman ;

von Roth, Philipp ;

Perka, Carsten ;

Matziolis, Georg .

ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2014, 134 (04) :459-465

[3]

Posterior cruciate-retaining versus posterior stabilized total knee arthroplasty: a meta-analysis of randomized controlled trials [J].

Li, Ning ;

Tan, Yang ;

Deng, Yu ;

Chen, Liaobin .

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2014, 22 (03) :556-564

[4]

Tibia Valga Morphology in Osteoarthritic Knees: Importance of Preoperative Full Limb Radiographs in Total Knee Arthroplasty [J].

Alghamdi, Ahmed ;

Rahme, Michel ;

Lavigne, Martin ;

Masse, Vincent ;

Vendittoli, Pascal-Andre .

JOURNAL OF ARTHROPLASTY, 2014, 29 (08) :1671-1676

[5]

Total knee arthroplasty in the valgus knee [J].

Rossi, Roberto ;

Rosso, Federica ;

Cottino, Umberto ;

Dettoni, Federico ;

Bonasia, Davide Edoardo ;

Bruzzone, Matteo .

INTERNATIONAL ORTHOPAEDICS, 2014, 38 (02) :273-283

[6]

Lateral approach is advantageous in total knee arthroplasty for valgus deformed knee [J].

Sekiya H. ;

Takatoku K. ;

Takada H. ;

Sugimoto N. ;

Hoshino Y. .

European Journal of Orthopaedic Surgery & Traumatology, 2014, 24 (1) :111-115

[7]

Computed Tomography Evaluation in Total Knee Arthroplasty: Computer-Assisted Navigation Versus Conventional Instrumentation in Patients With Advanced Valgus Arthritic Knees [J].

Huang, Tsan-Wen ;

Kuo, Liang-Tseng ;

Peng, Kuo-Ti ;

Lee, Mel S. ;

Hsu, Robert Wen-Wei .

JOURNAL OF ARTHROPLASTY, 2014, 29 (12) :2363-2368

[8]

A Comparison of Variable Angle Versus Fixed Angle Distal Femoral Resection in Primary Total Knee Arthroplasty [J].

Deakin, Angela H. ;

Sarungi, Martin .

JOURNAL OF ARTHROPLASTY, 2014, 29 (06) :1133-1137

[9]

Joint line changes and outcomes in constrained versus unconstrained total knee arthroplasty for the type II valgus knee [J].

Pang, Hee-Nee ;

Yeo, Seng-Jin ;

Chong, Hwei-Chi ;

Chin, Pak-Lin ;

Chia, Shi-Lu ;

Lo, Ngai-Nung .

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2013, 21 (10) :2363-2369

[10]

A new navigation-based technique for lateral distalizing condylar osteotomy in patients undergoing total knee arthroplasty with fixed valgus deformity [J].

Strauch, Marco ;

Rothe, Ruediger von Eisenhart ;

Graichen, Heiko .

KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2013, 21 (10) :2263-2270