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相关概念视频

Knee Joint01:23

Knee Joint

The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris group...

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关于有问题的膝关节置换和修复膝关节置换的共识声明:EKS和BASK之间的合作.

Andrew Porteous1, Frank-Christiaan Wagenaar2, Andrew Price1

  • 1European Knee Society (EKS), Europe; British Association for Surgery of the Knee (BASK), Europe.

The Knee
|December 17, 2024
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概括

不满意的全膝关节整形术 (TKA) 患者需要明确的诊断途径和专业的护理. 共识建议涉及有问题的TKA和修复膝关节置换 (RTKA) 的评估和管理,以获得更好的结果.

关键词:
巴斯克 (BASK) 和欧洲经济联盟 (EKS).达成共识 达成共识有问题的膝关节置换.修订 TKA TKA 的版本

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科学领域:

  • 整形外科手术 整形外科手术
  • 关节质整术是指关节质整术.
  • 膝关节置换手术 膝关节置换手术

背景情况:

  • 在全膝关节整形术 (TKA) 患者中,有很大比例的人表示对结果不满.
  • 对有问题的TKA进行分析和修订手术存在复杂性,高成本和可变结果.

研究的目的:

  • 建立对有问题的TKA的门诊评估的共识建议.
  • 定义修复膝关节置换 (RTKA) 的外科治疗策略.
  • 引导对TKA或RTKA不满意的患者提供临床服务的安排.

主要方法:

  • 英国膝关节外科协会 (BASK) 和欧洲膝关节协会 (EKS) 成员召开了联合会议.
  • 采用了包括多轮德尔菲演习在内的正式共识过程.
  • 两次共识会议 (伦敦2019年,基茨布尔2023年) 涉及80多名代表,利用小组讨论,要求声明达成80%的协议.

主要成果:

  • 达成九项共识声明,涵盖疑似感染的诊断途径 (例如,MSIS,ICM,EBJIS) 和有问题的TKA (临床,X射线,血液测试) 的初步调查.
  • 建议强调多学科团队 (MDT) 参与感染的TKAs,并建议RTKA提供者的特定培训/经验和最低单位数量.
  • 考虑修复手术的关键因素,手术前诊断和RTKA结果之间的联系,以及RTKA在没有明确的手术诊断的情况下对疼痛的不可预测性得到了解决.

结论:

  • 联合BASK-EKS和EKS的共识声明为有问题的TKA和RTKA患者的最佳护理提供了当代基础.
  • 这些建议应该为未来的培训计划和膝关节关节整形和修复手术的服务发展提供信息.