如何管理本地硬的膝盖
Francesco Pirato1, Federica Rosso1, Federico Dettoni1
1Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Torino, Italy.
EFORT open reviews
|May 10, 2024
概括
原生硬膝盖,一种限制膝盖运动的疾病,很少见,但令人虚弱. 治疗方法各不相同,在严重,疼痛的病例中考虑全膝关节整形术 (TKA),需要仔细的手术规划.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 运动医学 运动医学
背景情况:
- 膝盖硬是一种常见的术后并发症,但本地硬膝盖的理解较少.
- 1989年定义,硬膝关节涉及<50°的总运动范围;结膝关节是<30°.
- 硬度呈现为曲,延伸或联合收缩,具有与患者相关的和非患者相关的各种风险因素.
研究的目的:
- 审查有关本土膝盖硬的流行病学,分类和治疗的现有文献.
- 巩固当前关于这种罕见但致残的疾病的知识.
主要方法:
- 关于本地硬膝盖的文献评论.
- 对流行病学数据,分类系统和治疗方式的分析.
- 讨论风险因素和外科考虑,包括全膝关节整形术 (TKA).
主要成果:
- 本地硬膝盖的特点是运动范围有限,可以分为承类型.
- 风险因素是多样化的,包括患者特异性和外部因素.
- 治疗选择范围从麻醉下的操纵 (MUA) 和手术释放到严重关节炎的TKA.
结论:
- 原生硬膝盖是一种罕见但显著损害的疾病.
- 管理需要采取量身定制的方法,考虑潜在的原因和严重程度.
- 膝关节整形术 (TKA) 是治疗严重关节炎的疼痛,硬的膝关节的可行选择,需要精心进行手术规划.
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