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在全膝关节整形术后,下肢对齐的补偿性变化:大膝关节纠正 (≥10°) 显示了脚和下关节对齐的实质性改变

Erel Ben-Ari^1,2, Itay Ashkenazi^3,4, Ethan Sissman⁵

¹Department of Orthopaedic Surgery, Division of Adult Reconstructive Surgery, New York University Langone Health, 522 20th street, New York, NY, 10009, USA. erel.benari@gmail.com.

Archives of orthopaedic and trauma surgery

|May 30, 2025

概括

全膝关节整形术 (TKA) 可以改变下肢对齐. 在TKA期间的大型纠正 (≥10°) 显著改变了脚和下关节的对齐,可能会影响结果.

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) 显著影响下肢对齐.
对于TKA对脚和下关节对齐的影响尚不清楚.

研究的目的:

为了研究TKA后关节和下膝关节对齐的变化,随着不同程度的/关节膝关节纠正.
了解膝关节正和远端关节对齐之间的关联.

主要方法:

对100名患有初级膝关节关节炎的患者进行了回顾性研究.
根据冠状膝关节对齐校正分组的患者:<10°瓦鲁斯,≥10°瓦鲁斯,<10°瓦卢斯,≥10°瓦卢斯.
术前和术后的X射线测量了部 - 膝盖 - 脚角,部天花倾斜,部倾斜,部倾斜和部部 - 角.

主要成果:

TKA改变了测量角度,而不考虑校正程度.
≥10°的正显著改变了顶的倾斜 (84.9°至89.5°),顶的倾斜 (83.1°至89.3°),以及顶下角 (66.4°至72.6°).

结论:

在TKA中进行膝盖形纠正通常是对脚和下关节进行调整.
在TKA期间显著的纠正 (≥10°) 会改变脚和下的对齐,可能导致不良后果.
建议进一步研究大价关节纠正对远端关节对齐和结果的长期影响.

关键词:

脚关节骨关节炎脚关节炎脚疼痛脚疼痛在脚疼痛冠状的对齐是冠状的对齐.细分水平的对齐方式腹部下部的疼痛可能会出现.整体膝关节关节整形术膝关节整形术

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