强生 全膝关节置换术讲解.pdf

TKA手术 下肢对线与间隙平衡 “一线两间隙” Limb Joint Alignment 下肢和关节对线 Varus 内翻 = Towards the Midline 朝向中线 Valgus外翻 = Away from the Midline 远离中线 The tibia femur do not form a straight line but form an obtuse angle of 170°– 175° the average being 173°which is the physiological Valgus of the knee 胫骨与股骨不形成直线，而是170°– 175 钝角、平均173° ，这是膝关节的生理外翻。 The HKA Axis HKA 轴 A line connecting the centre of the femoral head the centre of the knee and the centre of ankle 连接股骨头