术前曲收缩在单隔膝关节关节整形手术中对组件角度有什么影响?
Naoki Nakano1, Masanori Tsubosaka2, Tomoyuki Kamenaga2
1Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-1 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan. gnaokix1981@gmail.com.
概括
在单间膝关节关节整形术 (UKA) 中,手术前的膝关节曲收缩会影响大腿部部件的位置,从而导致更和曲的位置. 部件的角度和膝盖的曲不受影响.
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
- 膝盖关节整形手术 膝盖关节整形手术
背景情况:
- 单间膝关节关节整形术 (UKA) 指示正在扩大,包括患有手术前曲收缩的膝盖.
- 了解曲收缩对植入物定位的影响对于最佳的外科手术结果至关重要.
研究的目的:
- 为了研究手术前膝盖曲收缩对固定轴承UKA的组件角度的影响.
- 为了比较与手术前曲收缩和没有进行的UKA之间的植入物定位.
主要方法:
- 追溯分析了70个固定轴承的UKA (35个带有手术前曲收缩,35个没有).
- 冠状和斜腰骨和骨部件角度的X射线评估.
- 测量膝盖运动范围和关节-膝关节 (HKA) 角度.
主要成果:
- 股骨部件被放置在膝盖中,在手术前曲收缩的情况下,处于更的位置和曲的位置.
- 两组之间部部件的角度没有显著差异.
- 术前曲收缩症在术后持续存在,在收缩症组中使用了更厚的小腿插件.
结论:
- 在UKA中,手术前曲收缩与更多的部部位和曲的股骨部位的倾向有关.
- 固定轴承UKA的间隔块技术可能需要对膝盖进行调整,因为膝盖有 flexion contracture.
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