重新审视普遍的股骨部件:现代设计的中期结果
D Alex Forrester1, Jesua I Law2, Angie Grant1
1Hofmann Arthritis Institute, Salt Lake City, UT, 84102, USA.
Journal of orthopaedics
|August 5, 2024
概括
这项研究表明,现代通用全膝关节整形系统提供了出色的6年临床结果和生存率. 普遍的股骨部件表现出与不对称的设计相匹配的结果,没有带误导问题.
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
- 关节塑造研究 关节塑造研究
背景情况:
- 现代的全膝关节整形术 (TKA) 系统,具有对称的股骨和骨组成部分,大约在十年前被引入.
- 该TKA系统旨在通过其设计简化外科手术程序,并有可能改善患者的治疗结果.
研究的目的:
- 评估TJO Klassic®膝关节系统的6年临床结果和生存率.
- 评估全膝关节置换手术中普遍的股骨部件的疗效.
主要方法:
- 在2014年1月至2015年1月期间接受TKA的131名患者 (149名膝盖) 的回顾性图表审查.
- 分析包括患者人口统计,手术前/手术后膝关节社会得分 (KSS),运动范围 (ROM) 和放射评估.
主要成果:
- 观察到KSS (临床和功能组成部分) 和ROM显著改善 (p < 0.001).
- 由于各种原因,包括感染,松动和聚乙烯交换,九个膝盖 (6.7%) 在6年内需要重新手术.
- 没有报告发生带错误跟踪的情况.
结论:
- 在TKA中普遍的股骨部件表明了出色的6年临床结果和生存率.
- 这种设计在全膝关节置换中显示了与现代不对称的股骨部件相似的结果.
相关概念视频
Bone Structure
Within the skeletal system, the structure of a bone, or osseous tissue, can be exemplified in a long bone, like the femur, where there are two types of osseous tissue: cortical and cancellous.
Bone Remodeling
Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.
Gross Anatomy of Bone
The two main features of a long bone are the diaphysis and the epiphysis.
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...
The diaphysis is the tubular shaft that runs between the proximal and distal ends of the bone. The walls of the diaphysis are composed of dense and hard compact bone made of numerous osteons — the functional unit of the compact bone. The hollow region in the diaphysis is called the medullary cavity, which harbors the bone marrow. In infants and children, this marrow cavity is filled with red marrow, whereas in adults, it...


