The evolution of patellofemoral prosthetic design in total knee arthroplasty: how far have we come?
The evolution of patellofemoral prosthetic design in total knee arthroplasty: how far have we come?
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DOI：
10.1302/2058-5241.4.180094
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发表时间：
2019-08-01
影响因子：
3.4
通讯作者：
Haddad, Fares Sami
中科院分区：
文献类型：
--
作者：
Roussot, Mark Anthony;Haddad, Fares Sami
全膝关节置换术（TKA）已发展成为一种成功的，具有成本效益的治疗终末期膝关节。尽管髌股关节是TKA预后的重要决定因素，但在其发展过程中，它在很大程度上被忽视了。将髌骨纳入TKA手术计划和手术技术仍需进一步发展新技术。TKA的其他对齐方法将对髌股力学和可能的未来植入物设计产生二次影响。辅助种植体精确定位的技术可能会改变我们对TKA的理解和整体实践。
Total knee arthroplasty (TKA) has evolved into a successful, cost-effective treatment for end-stage knee arthrosis.The patellofemoral articulation in TKA has largely been ignored during its development despite being an important determinant of outcome.New technologies still need further development to incorporate the patella in TKA surgical planning and operative technique.Alternative approaches to alignment in TKA will have a secondary impact on patellofemoral mechanics and possibly future implant designs.Technologies that assist with precise implant positioning may alter our understanding and overall practice of TKA.