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低度发育性关节质疏松症的整体关节整形手术改变了侧膝关节在轴和冠状平面上的对齐

Stefano Lucchini¹, Francesco Castagnini^1,2, Francesco Perdisa³

¹Ortopedia-Traumatologia e Chirurgia Protesica e Dei Reimpianti D'anca e di Ginocchio, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy.

Journal of clinical medicine

|December 9, 2023

概括

关节整形术在患有关节张症的患者中显著改变了膝盖对齐. 这些变化倾向于纠正冠状和旋转对齐,而不会影响腿骨骨关节.

科学领域:

整形外科手术整形外科手术
生物机械分析分析
放射性评估是指进行放射性评估.

背景情况:

关于关节整形术 (THA) 对膝关节对齐的术后影响的数据有限.
进行了CT研究,以评估THA后的轴向和冠状膝关节对齐的变化,在低度的部发育不良中.

研究的目的:

为了评估THA对侧膝关节轴向和冠状线对齐的影响.
为了研究低度关节发育不良的患者膝关节对齐的术后变化.

主要方法:

对比手术前和手术后的CT扫描 (THA后至少2年) 在37名患有Crowe I-II部发育不良的患者 (40部).
CT扫描覆盖了从第四个腰椎到椎高原.

主要成果:

THA显著改变了旋转高度,旋转中心,股骨偏移,股骨反扭转和部内部旋转.
股骨和机械侧偏远股骨角显示出显著的偏差,表明冠状腺对齐的变化.
在THA后,骨盆带对齐明显变化;带对齐没有受到影响.

结论:

在低度形部中,THA导致部和膝盖对齐的显著变化,主要是中和冠状和旋转对齐.
这些修改似乎没有实质性地改变骨骨关节.
需要进行进一步的临床试验,以确定这些放射性变化是否会影响前膝关节疼痛或形稳定性.

关键词:

股骨前转变 (Femoral Anteversion) 是一个部内部旋转的部内部旋转状骨的倾斜状骨倾斜整体关节整形术这里有三叶.

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