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在全膝关节整形术中的对齐:避免从Varus过渡到Valgus

Pradyumna Gurusamy¹, Jennifer W Liu¹, Thomas C Sullivan¹

¹Houston Methodist Hospital, Houston Methodist Orthopedics & Sports Medicine, Houston, Texas.

The Journal of arthroplasty

|April 28, 2024

概括

在全膝关节整形术 (TKA) 后实现中性或轻微的形对齐至关重要. 手术后的关节对齐可能会对患者的结果和膝盖运动范围 (ROM) 产生负面影响.

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
重建性手术是一种重建性手术.

背景情况:

在全膝关节整形术 (TKA) 中,四肢对齐是影响手术成功的关键因素.
关于TKA后最佳患者结果的理想目标肢体对齐的争论仍在继续.

研究的目的:

调查手术后肢体对齐校正对患者报告结果和TKA后膝盖运动范围 (ROM) 的影响.
在接受初级TKA的患者中,比较不同手术后对齐子组的结果.

主要方法:

对409名初级TKA患者的回顾性分析,使用全腿长度射线图进行对齐测量.
基于手术前和手术后对齐的患者分类 (中性, varus, valgus,交叉).
膝关节损伤和骨关节炎结局评分的评估关节置换 (KOOSJR) 和膝关节ROM在各种术后间隔.

主要成果:

与中性对齐相比,手术后关节对齐 (VAR-CO) 患者的KOOSJR得分显著降低,ROM减少.
在手术前留在关节对齐 (VAL-rVAL) 的关节患者表现出膝盖屈曲的减少.
过度纠正 (VAR-CO) 导致结果比中性或剩余的对齐更差.

结论:

术后的关节对齐,无论是通过过度纠正还是未能纠正,都与患者不太有利的结果和膝盖ROM的减少有关.
在TKA中,对中性或轻微变异的调整似乎是一个更有利的策略.

关键词:

冠状的对齐是冠状的对齐.跨界车跨界车跨界车跨界车动力学对齐动力学对齐机械对齐机械对齐患者报告的结果衡量患者报告的结果.整体膝关节关节整形手术

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