系统机械对齐的十个缺陷 膝关节整体关节整形术
Gautier Beckers1, R Michael Meneghini2, Michael T Hirschmann3
1Surgery Department, Hôpital Maisonneuve-Rosemont, Montreal University, Montreal, Quebec, Canada; Personalized Arthroplasty Society, Atlanta, Georgia.
The Journal of arthroplasty
|November 25, 2023
概括
由于患者的不满,全膝关节整形术 (TKA) 的机械对齐 (MA) 正在受到质疑. 这篇评论挑战了10个有缺陷的MA原则,倡导个性化的TKA技术来改善结果.
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
背景情况:
- 自1973年以来,机械对齐 (MA) 已成为全膝关节整形术 (TKA) 的基石.
- 手术技术的进步,植入物,以及对膝盖生物力学的理解,需要对MA原则进行重新评估.
研究的目的:
- 批判性地审查和挑战10个长期存在的,可能有缺陷的,在TKA中MA的原则.
- 建议转向个性化的TKA技术,以改善患者的治疗结果.
主要方法:
- 对TKA中MA的现有文献进行叙述性审查.
- 批判性分析和讨论已建立的MA原则.
- 介绍一种替代的,个性化的方法.
主要成果:
- 在患者解剖学中发现了显著的变异性,该变异性没有被系统的MA解决.
- 突出了与MA TKA相关的患者不满和残留疼痛的高率.
- 质疑了10个传统的MA原则的普遍适用性.
结论:
- 在TKA中,某些已建立的MA原则可能是错误的或毫无根据的.
- 个性化的TKA,考虑到个体患者的解剖学和动力学,提供了一个合理的替代方案.
- 过渡到个性化的TKA对于提高患者满意度和功能恢复至关重要.
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