Individualized surgery in primary total knee arthroplasty.

Individualized surgery in primary total knee arthroplasty.
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初次全膝关节置换术的个体化手术。

DOI:
10.1302/2058-5241.5.190085
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发表时间:
2020-10
期刊:
影响因子:
3.4
通讯作者:
Komnos GA
Komnos GA
中科院分区:
医学2区
文献类型:
--
作者:
Karachalios T;Komnos GA

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全膝关节置换术(TKA)是治疗终末期膝关节病变的一种令人满意的手术。然而,患者不满意的发生率很高。近年来,传统的全膝关节置换术的手术技术受到挑战,尊重个体解剖结构、对线和软组织松弛的现代趋势已经形成。这些现代技术在选定患者中的适应症、局限性和结局尚不明确。现代技术(导航、患者专用器械和机器人)提高了截骨术的准确性,但其对长期结局的影响仍不清楚。介绍了一种尊重个体解剖结构、松弛度和对线的技术,该技术与设计用于结合当代膝关节运动学的植入物相结合,而不使用现代技术。引用这篇文章:EFORT Open Rev 2020;5:663-671。DOI:10.1302/2058-5241.5.190085
Total knee arthroplasty (TKA) is a satisfactory procedure for end-stage knee joint pathology. However, there is a significant incidence of unsatisfied patients. In recent years conventional total knee arthroplasty surgical technique has been challenged and a modern trend to respect individual anatomy, alignment and soft tissue laxities has been developed. The indications, limits and outcomes of these modern techniques in selected patients are not well-defined. Modern technology (navigation, patient-specific instrumentation and robotics) has improved accuracy of the osteotomies but their effect on long-term outcomes is still unclear. A technique which respects individual anatomy, laxities and alignment in combination with an implant which is designed to incorporate contemporary knee kinematics, without the use of modern technology, is presented. Cite this article: EFORT Open Rev 2020;5:663-671. DOI: 10.1302/2058-5241.5.190085
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