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在全膝关节整形手术中骨旋转对齐:来自欧洲膝关节协会 (EKS) 的德尔菲共识声明

Siegfried Hofmann¹, Andrea Tecame², Jan Victor³

¹Orthopedic Department, LKH Murtal-Stolzalpe, Standort Stolzalpe, 8352, Stolzalpe, Stolzalpe 77, Austria.

Archives of orthopaedic and trauma surgery

|April 2, 2025

概括

在全膝关节整形术 (TKA) 中实现最佳的部位旋转对于关节功能至关重要. 专家的共识强调需要个性化对齐策略超越传统的地标,由于解剖学变异性.

科学领域:

整形外科手术整形外科手术
生物力学生物力学
医疗器械技术医疗器械技术

背景情况:

在全膝关节整形术 (TKA) 中,准确的部部位的旋转对齐对于最佳的关节功能和防止不稳定性至关重要.
传统上对结骨轴 (TTA) 的依赖受到膝盖解剖学显著变化的挑战.
低于最佳的对齐可以导致腿骨不匹配,腿骨不稳定性和受损的关节动力学.

研究的目的:

在TKA中建立专家共识,以确定最佳的带旋转对齐.
评估结骨轴 (TTA) 的可靠性,并确定局限性.
评估计算机辅助和机器人技术对调整结果的影响.

主要方法:

德尔菲共识方法与欧洲膝关节协会 (EKS) 专家合作.
系统的文献审查,以告知专家讨论.
结构化的专家讨论以解决关于骨旋转对齐的关键问题.

主要成果:

达成共识,将前后骨轴与大腿曲/延伸轴垂直对齐,并优化骨结核与三叶相对的位置.
在大约70%的病例中,TTA是可靠的,但在30%的病例中,解剖学变异需要替代方法.
与传统方法相比,当前的计算机辅助和机器人技术并没有显示出与传统方法相比对齐结果的显著改善.

结论:

在TKA中,最佳的骨对齐需要个性化评估,考虑旋转形.
贸易贸易协定的变化凸显了对补充调整战略的需要.
先进的数据分析有可能改进未来的TKA对齐技术并改善患者的治疗结果.

关键词:

德尔菲的共识德尔菲的共识在 EKS 中, EKS 是最佳的骨对齐是最佳的这就是TTA TTA.部部件旋转的旋转时间

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