The majority of orthopaedic surgeons even currentlyagree that primary total arthroplasty in valgus knees with a deformity of more than ten degrees may prove challenging. The unique sets of bone and soft tissue abnorma...The majority of orthopaedic surgeons even currentlyagree that primary total arthroplasty in valgus knees with a deformity of more than ten degrees may prove challenging. The unique sets of bone and soft tissue abnormalities that must be addressed at the time of the operation make accurate axis restoration, component orientation and joint stability attainment a difficult task. Understanding the specific pathologic anatomic changes associated with the valgus knee is a prerequisite so as to select the proper surgical method, to optimize component position and restore soft-tissue balance. The purpose of this article is to review the valgus knee anatomical variations, to assess the best pre-operative planning and to evaluate how to choose the grade of constraint of the implant. It will also be underlying the up-to-date main approaches and surgical techniques be proposed in the English literature both for bone cuts and soft tissue management of valgus knees.展开更多
目的总结评估程序化松解处理内侧挛缩组织在屈曲型膝内翻患者初次全膝置换术中的临床疗效。方法回顾性分析2015年3月至2017年3月我院收治的68例(82膝)屈曲型膝内翻患者,其中男21例(26膝),女47例(56膝),年龄61~78岁,均采用全膝关节置换...目的总结评估程序化松解处理内侧挛缩组织在屈曲型膝内翻患者初次全膝置换术中的临床疗效。方法回顾性分析2015年3月至2017年3月我院收治的68例(82膝)屈曲型膝内翻患者,其中男21例(26膝),女47例(56膝),年龄61~78岁,均采用全膝关节置换术治疗。所有患者均由同一医生主刀完成,术中程序化处理内侧挛缩组织。记录术前和末次随访的膝关节功能评分(knee society score,HSS)、疼痛目测类比评分(visual analogue score,VAS)、膝关节伸屈活动度和膝关节内翻角。观察X线片表现,评估膝关节假体位置。结果均获随访,随访时间5年以上。68例患者未出现感染、松动和假体周围骨折等并发症。与术前比较,末次随访时的KSS、VAS、膝关节伸屈活动度和膝关节内翻角有明显改善,差异均有统计学意义(P<0.05)。末次随访X线片显示假体位置良好。结论在初次全膝关节置换治疗屈曲型膝内翻患者中,程序化处理内侧挛缩组织可达到创伤适度、有效平衡、并发症少和重建理想的膝关节功能的目的。展开更多
文摘The majority of orthopaedic surgeons even currentlyagree that primary total arthroplasty in valgus knees with a deformity of more than ten degrees may prove challenging. The unique sets of bone and soft tissue abnormalities that must be addressed at the time of the operation make accurate axis restoration, component orientation and joint stability attainment a difficult task. Understanding the specific pathologic anatomic changes associated with the valgus knee is a prerequisite so as to select the proper surgical method, to optimize component position and restore soft-tissue balance. The purpose of this article is to review the valgus knee anatomical variations, to assess the best pre-operative planning and to evaluate how to choose the grade of constraint of the implant. It will also be underlying the up-to-date main approaches and surgical techniques be proposed in the English literature both for bone cuts and soft tissue management of valgus knees.
文摘目的总结评估程序化松解处理内侧挛缩组织在屈曲型膝内翻患者初次全膝置换术中的临床疗效。方法回顾性分析2015年3月至2017年3月我院收治的68例(82膝)屈曲型膝内翻患者,其中男21例(26膝),女47例(56膝),年龄61~78岁,均采用全膝关节置换术治疗。所有患者均由同一医生主刀完成,术中程序化处理内侧挛缩组织。记录术前和末次随访的膝关节功能评分(knee society score,HSS)、疼痛目测类比评分(visual analogue score,VAS)、膝关节伸屈活动度和膝关节内翻角。观察X线片表现,评估膝关节假体位置。结果均获随访,随访时间5年以上。68例患者未出现感染、松动和假体周围骨折等并发症。与术前比较,末次随访时的KSS、VAS、膝关节伸屈活动度和膝关节内翻角有明显改善,差异均有统计学意义(P<0.05)。末次随访X线片显示假体位置良好。结论在初次全膝关节置换治疗屈曲型膝内翻患者中,程序化处理内侧挛缩组织可达到创伤适度、有效平衡、并发症少和重建理想的膝关节功能的目的。
