The spectrum of prosthesis design for primary total knee arthroplasty.

The spectrum of prosthesis design for primary total knee arthroplasty.
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初次全膝关节置换术的假体设计范围。

DOI:
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发表时间:
2003
期刊:
Instructional course lectures
影响因子:
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通讯作者:
A. Rajadhyaksha
A. Rajadhyaksha
中科院分区:
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文献类型:
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作者:
Michael A Mont;R. Booth;R. Laskin;J. Stiehl;M. A. Ritter;S. Stuchin;A. Rajadhyaksha

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目前有多种类型的假体用于全膝关节置换术。然而,关于哪种假体最适合个别外科医生和特定患者群体使用,存在争议。目前,美国有六种类型的假体用于初次全膝关节置换术:后十字韧带保留假体;后交叉韧带替代假体;带有陶瓷部件的假肢;移动轴承假肢;非模块化、压模聚乙烯假体;和内侧枢轴假肢。讨论了使用这些不同类型假肢的历史和当前结果,并描述了每种类型的适应症、禁忌症和建议。
Many types of prostheses are currently used for total knee arthroplasty. Controversy exists, however, regarding which prostheses are the most appropriate for use by individual surgeons and specific patient groups. Six types of prostheses are currently being used in the United States for primary total knee arthroplasty: posterior cruciate ligament-retaining prostheses; posterior cruciate ligament-substituting prostheses; prostheses with ceramic components; mobile-bearing prostheses; nonmodular, compression-molded polyethylene prostheses; and medial-pivot prostheses. The historical and current result of using these different types of prostheses are discussed, and the indications, contraindications, and recommendations for each type are delineated.