在全膝关节整形术中使用解剖学骨基板可以优化覆盖范围,而不会影响旋转:一种倾向匹配的评估
Jade Pei Yuik Ho1, Seong Yun Park2, Hee Seung Nam2
1Department of Orthopaedic Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, South Korea; Department of Orthopaedic Surgery, Kuala Lumpur General Hospital, Malaysia.
The Knee
|September 29, 2023
概括
在全膝关节整形术 (TKA) 中,与对称组件相比,解剖型骨基板提供了更好的覆盖和旋转对齐. 然而,它们会导致术后骨扭转发生更大的变化.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 医学成像医学成像
背景情况:
- 膝关节整形术 (TKA) 涉及部件放置.
- 部件的设计影响了外科手术的结果.
- 了解旋转对齐和覆盖范围至关重要.
研究的目的:
- 比较体内覆盖范围和解剖 (ATC) 与对称的部件 (STC) 的旋转对齐.
- 调查冠状元形,骨扭转,旋转和覆盖范围之间的关系.
主要方法:
- 对200名TKA患者的术后CT扫描进行分析.
- 使用四个轴 (sTEA,Berger,ML,后边界) 测量部部件的旋转.
- 评估部部件的覆盖面 (适应和表面积).
主要成果:
- 与ATC相比,STC显示出明显更多的内部旋转和后中侧下垂.
- 与ATC相比,STC在手术后的小腿骨扭转发生的变化较小.
- 在手术前和后的valgus膝盖中,骨扭转更为明显.
结论:
- 解剖学骨基板优化了TKA中的覆盖范围和旋转配置文件.
- 解剖学骨基板导致TKA.后骨扭转发生更大的变化.
- 组件选择会影响旋转对齐和覆盖结果.
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