严重的膝关节冠状面畸形初次膝关节置换应对策略.pdfVIP

中国骨与关节杂志 2016 年 10 月第 5 卷第 10 期 Chinese Journal of Bone and Joint, October 2016, Vol 5, No 10 . 721 . . 述评 Editorial . 严重的膝关节冠状面畸形初次膝关节置换应对策略 王伟 杨佩 王坤正 宋金辉 DOI: 10.3969/j.issn.2095-252X.2016.10.001 中图分类号：R687.4 基金项目：国家自然科学基金 ( ) 作者单位：710004 西安交通大学第二附属医院骨一科 通信作者：王坤正，Email: dr.wangwei@xjtu.edu.cn The strategy of primary total knee arthroplasty for severe coronal plane deformities WANG Wei, YANG Pei, WANG Kun-zheng, SONG Jin-hui. Department of Orthopaedic Surgery, the second Affiliated Hospital of Xi’an Jiaotong University, Xi’an, Shaanxi, 710004, PRC Corresponding author: WANG Kun-zheng, Email: dr.wangwei@xjtu.edu.cn Abstract Based on certain conclusive evidence, total knee arthroplasty ( TKA ) has shown excellent results 【 】 in the treatment of end-stage knee joint disorders. With the development and popularization of knee replacement technology and the enlarging indications of primary TKA surgery, the number and difficulty of complex primary TKA has shown a rapid rise. Due to the scarcity of complex primary TKA cases, some orthopaedic surgeons don’t have enough direct experience on complex primary TKA, which has become an important cause for the lack of good clinical results after complex primary TKA. In this paper, knowledge and literature about complex primary TKA for severe coronal plane deformities are summarized and analyzed, which will be helpful to the clinical work. Key words Knee prosthesis; Arthroplasty, replacement, knee; Arthroplasty, replacement; Knee joint 【 】 【关键词】 人工膝关节；关节成形术，置换，膝；关节成形术，置换；膝关节 人工全膝关节置换术疗效确切 ，可以达到缓解疼痛、改善功能、提高生活质量的目的 。膝关节置换术在 治疗膝关节终末期病变中，术后 15 ～23 年留存率 91% ～95%。恢复正常下肢力线、良好的假体位置、熟练的 软组织平衡技术以及获得适当的髌骨运动轨迹 ，是膝关节置换手术的 4 要素 [1-5] 。在初次膝关节置换手术中 ， 如果能把握以上 4 个要素 ，可以获得确切的、良好的术后效果。 随着膝关节置换术技术的推广普及，膝关节置换