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膝关节置换术并发腓总神经损伤原因分析 被引量：3

Clinical Analysis of Total Knee Arthroplasty Complicated with Common Peroneal Nerve Injury
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摘要 目的：探讨人工全膝关节置换术（TKA）并发腓总神经损伤的原因及处理方法.方法：本院自2001年1月～2011年1月TKA术后并发腓总神经损伤患者共9例,回顾性分析其腓总神经损伤的原因.选取成人膝关节标本9例进行模拟手术和3D-CT扫描重建,分析并评价手术中易损伤腓总神经的危险区域.结果：本组9例腓总神经损伤的原因如下.Hoffman板钩位置不当4例,为纠正残余屈曲角度导致的牵拉伤3例,术后血肿压迫1例,麻醉过程针刺伤1例.标本模拟手术及影像解剖显示：腘窝顶点、腓骨小头前缘隆起点、腓骨小头前缘下3 cm、前点内侧3 cm的四点围成四边形区域为手术危险区.结论：TKA手术并发腓总神经损伤是多种因素造成的.术中,在前述四边形区域内使用手术器械不当操作易损伤腓总神经.
作者 汪文俊 何露 陈强
机构地区 益阳医学高等专科学校解剖教研室 益阳医学高等专科学校附属医院骨科
出处 《解剖与临床》 2011年第6期459-461,共3页 Anatomy and Clinics
关键词 腓总神经 膝关节置换术 损伤
分类号 R687.4 [医药卫生—骨科学] R322.85 [医药卫生—人体解剖和组织胚胎学]
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参考文献9

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同被引文献20

  • 1李昌顺,陆州,张朝春.一期全膝关节表面置换术治疗双膝骨关节病[J].解剖与临床,2006,11(5):326-327. 被引量：1
  • 2张洪美,赵铁军,孙钢,顾力军,陈卫衡,荆琳.全膝关节置换术中胫骨近端骨缺损的处理[J].中华骨科杂志,2007,27(5):347-350. 被引量：8
  • 3朱国兴,杨玉生,施克勤.人工全膝关节表面置换术中后关节囊切断松解的应用[J].江苏医药,2007,33(9):877-879. 被引量：9
  • 4Ranawat CS, Boachie-Adjei O. Survivorship analysis and results of total condylar knee arthroplasty. Eight- to 11-year follow-up period. Clin Orthop Relat Res,1988, (226) :6 - 13.
  • 5Vessely MB,Whaley AL,Harmsen WS,et al.The chitranjan ranawat award:long-term survivorship and failure modes of 1000 cemented condylar total knee arthroplasties[J].Clin Orthop Relat Res,2006,452:28-34.
  • 6Rodricks DJ,Patil S,Pulido P,et al.Press-fit condylar design total knee arthroplasty.Fourteen to seventeen-year follow-up[J].J Bone Joint Surg Am,2007,89(1):89-95.
  • 7Rasquinha VJ,Ranawat CS,Cervieri CL,et al.The press-fit condylar modular total knee system with a posterior cruciatesubstituting design.A concise follow-up of a previous report[J].JBone Joint Surg Am,2006,88(5):1006-1010.
  • 8Yoon HS,Han CD,Yang IH.Comparison of simultaneous bilateral and staged bilateral total knee arthroplasty in terms of perioperative complications[J].J Arthroplasty,2010,25 (2):179-185.
  • 9Segawa H,Tsukayama DT,Kyle RF,et al.Infection after total knee arthroplasty:a retrospective study of the treatment of eighty-one infections[J].J Bone Joint Surg Am,1999,81(10):1434-1445.
  • 10Miric A,lombardi P,Sculco TP.Deep vein thrombosis prophylaxis:a comprehensive approach for total hip and total knee arthroplasty patient populations[J].Am J Orthop (Belle Mead NJ),2000,29(4):269-274.

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解剖与临床
2011年 第6期

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