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在膝关节全关节整形手术前和之后的脚对齐,在患有膝关节形变形的患者中

Xiuye Ye¹, Binbin Xu¹, Nengteng Huang¹

¹Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine, Zhongshan, 528400, Guangdong, China.

Journal of orthopaedic surgery and research

|April 17, 2025

概括

膝关节整形术 (TKA) 改变了双侧脚倾斜,特别是在严重的膝关节中. 外科医生应考虑TKA后的残留,以防止脚并发症.

科学领域:

整形外科手术整形外科手术
生物力学生物力学
放射学放射学是一门学科.

背景情况:

全膝关节整形术 (TKA) 对患有膝患者的逆侧脚关节的生物力学影响尚未完全理解.
了解这些影响对于优化手术结果和患者流动性至关重要.

研究的目的:

调查单边TKA对双边脚倾斜,四肢对齐和膝盖患者的整体生物力学的影响.
分析TKA前后各种放射性参数的变化.

主要方法:

追溯分析86名患有末期膝关节关节炎和形形的患者,他们接受了TKA.
在手术前和手术后的X射线图上测量-膝-脚角 (HKA),前表面角 (TAS) 和侧倾斜 (TT).
根据纠正程度和对侧膝关节对齐情况对患者进行分类.

主要成果:

TKA显著改变了手术后的TAS和TT,表明了塔拉关节表面倾斜的变化.
较大的手术前膝关节形与手术后耳倾斜度 (TI) 的增加相关.
在手术前/手术后的HKA和逆侧脚对齐之间没有发现相关性.

结论:

单侧TKA导致双侧脚的倾斜角度同时发生变化.
对于严重的膝盖,在术后保留一些残留的可能有助于预防脚并发症.

关键词:

关节对齐脚对齐膝盖的对齐是膝盖的对齐.膝盖形变形膝盖形变形下肢对齐的情况下肢对齐的情况整体膝关节关节整形术膝关节整形术

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Ankle Joint

Ankle Joint

The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...