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宪法对齐预测中枢带平衡在机械对齐的全膝关节关节整形手术中,用于大腿膝盖

Jade Pei Yuik Ho¹, Joon Hee Cho², Hee Seung Nam²

¹Department of Orthopaedic Surgery, Kuala Lumpur General Hospital, Kuala Lumpur, Malaysia.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA

|November 17, 2023

概括

宪法对齐,而不是软组织收缩,决定了在全膝关节整形术 (TKA) 期间需要中间间隙平衡的需要. 在TKA手术中,Varus对齐是需要中枢带平衡的关键预测因素.

科学领域:

整形外科手术整形外科手术
生物机械工程生物机械工程
膝盖关节整形手术膝盖关节整形手术

背景情况:

机械整齐的全膝关节整形术 (TKA) 旨在实现最佳的关节功能.
中间间隙平衡对于在TKA中实现稳定性和运动范围至关重要.
预测需要中间带平衡的需要可以优化手术规划.

研究的目的:

为了确定宪法对齐和手术前放射学参数是否预测TKA中介间隙平衡的必要性.
确定影响TKA期间中枢带平衡要求的特定因素.

主要方法:

在263名患者中对394个初级TKA进行了回顾性分析.
使用膝盖冠状平面对齐 (CPAK) 分类对构造对齐的评估.
评估手术前和手术后的放射性参数,包括-膝-脚角 (mHKA) 和中位近角 (MPTA).
选择性使用多针刺穿 (MNP) 用于中间带平衡,如有指示.

主要成果:

在40.1%的膝盖中,需要使用MNP平衡中间带.
需要MNP的患者表现出更大的宪法,更高的手术前mHKA,更小的MPTA,以及在mHKA和MPTA中更大的术后变化.
在前后表面中间附带带 (sMCL) 纤维上,与MNP相关的宪法性静脉.
在手术前的LDFA,PTS或VVD中没有发现显著差异.

结论:

宪法对齐是TKA中中间带平衡的主要决定因素,超过中间软组织收缩.
具有宪法性静脉和较大的中侧延伸差距的患者更有可能需要MNP进行sMCL平衡.

关键词:

宪法调整宪法调整宪法调整差距平衡是为了平衡差距.机械对齐方式机械对齐方式中间带平衡的平衡方法这就是TKA TKA TKA.这就是TKRR.整体膝关节关节整形术膝关节整形术整体膝关节置换整体膝关节置换瓦鲁斯跪在膝盖上

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