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挑战中立轴:15年的结果,在膝关节关节整形术中进行了不足的纠正

Amyn M Rajani¹, Clevio Desouza², Vishal Kulkarni³

¹OAKS Clinic, 707, Panchsheel Plaza, N S Patkar Marg, next to Dharam Palace, Gamdevi, Mumbai, Maharashtra 400007, Mumbai, India. dramrajani@gmail.com.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

|July 27, 2025

概括

在全膝关节整形术 (TKA) 后保持轻微的关节对齐显示出优秀的长期功能结果和植入物存活率. 这种方法可以提高患者的满意度,并保持日常活动的能力.

科学领域:

整形外科手术整形外科手术
生物机械工程生物机械工程
康复医学是康复的医学.

背景情况:

膝关节整形术 (TKA) 有效地治疗骨关节炎,但由于功能限制,可能导致患者不满.
很大一部分患者 (高达30%) 报告TKA后不满.
人们越来越感兴趣通过特定的对齐策略来复制本地膝盖运动.

研究的目的:

评估初级全膝关节整形术 (TKA) 的长期结果,其手术目标是轻微地纠正形变形.
评估与中性或轻微的关节对齐相比,保持轻微的残留关节对齐是否能改善功能结果和患者满意度.
在至少15年的随访期内确定残留瓦鲁斯对齐的安全性和有效性.

主要方法:

在77名接受初级TKA的患者中,对123个膝盖进行了回顾性研究,目标是轻微的阴影低校正.
术后的对齐被分类为残留瓦鲁斯 (1°-3°),中性 (0°) 或轻微的瓦尔古斯 (1°-2°).
临床结果 (KOOS,KSS,FJS-12,VAS,ROM,跪/交叉腿能力) 和放射性评估 (机械对齐,植入物完整性) 平均评估时间为15.5年.

主要成果:

在78.9%的膝盖中,剩余的静脉动脉对齐 (1°-3°) 得到了实现.
所有对齐组都显示了KOOS,KSS和FJS-12得分的改善,而varus组的趋势更高 (例如,KOOS:92.8±2.8).
没有观察到植入物松动或失效;跪着和交叉腿坐着在体组中更好地保存.

结论:

在TKA之后轻微的残留位对齐是安全的,并显示出出色的功能结果和15年植入物存活率.
这种调整策略显示了改善患者满意度和保护文化活动的趋势.
个性化调整策略,包括轻微的体低校正,可能会提高TKA的结果.

关键词:

调整战略的调整策略文化活动文化活动植入物存活率植入物存活率科斯科斯科斯科斯长期的结果.剩余的瓦鲁斯 (varus) 在整体膝关节关节整形术膝关节整形术

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