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Knee pull people fancy lysis common peroneal nerve in the safety analysis
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Knee pull people fancy lysis common peroneal nerve in the safety analysis
Author: Chen camp, Yan, Tian month, Wang Xin, Jia Yanhui
Abstract [Objective] nuclear magnetic resonance image measurement, evaluation of knee joint valgus deformity pull people fancy lysis surgery peroneal nerve security. [Methods] selected 100 consecutive patients (male 40 cases, female 60 cases), in the knee clearance and of the tibial plateau beyond 0.8 ~ 1.0 cm plane (the plane tibial osteotomy) were measured peroneal nerve and joint capsule surface and upper posterolateral corner of tibia cortical bone distance. Statistics, comparison and analysis. [Results] In the level of the common peroneal nerve gap knee joint capsule from the surface of 1.50 cm ± 0.26 cm (0.85 ~ 2.23 cm); in the articular surface of the 8 ~ 10 cm under the tibial osteotomy level, nerve from the proximal tibia posterolateral corner 1.40 cm ± 0.27 cm (0.80 ~ 2.32 cm). Slightly less than the same distance from the plane data in the West, this safe distance from the knee with the same plane around the outer diameter at a positive correlation. [Conclusion] The knee joint valgus deformity pull fancy lysis procedure is simple and reliable, as long as the cutting tip when the depth of no more than 0.5 cm are generally not directly damage the common peroneal nerve, such as in-depth Chaoguo 0.8 cm, there may cause damage. Compared with Westerners, Chinese people should loosen slightly when cut into the shallow; knee at the smallest diameter in patients with partial cut into the appropriate bit lighter.
Keywords: Knee Replacement; knee valgus deformity; pull fancy lysis; common peroneal nerve injury
Abstract: [Objective] To evaluate the risk of peroneal nerve injury in the “Pie Crust” technique forvalgus release in TKA in Chinese by MRI measurement. [Method] Axial MR images of 100 knees of the Chinese people were measured at the joint space level and a level of 8 to 10cm
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