股内侧肌解剖形态与全膝关节置换手术入路的关系-骨外科学专业论文.docxVIP

股内侧肌解剖形态与全膝关节置换手术入路的关系 股内侧肌解剖形态与全膝关节置换手术入路的关系 广州医学院硕士学位论文 广州医学院硕士学位论文 PAGE PAGE 4 PAGE PAGE 5 The relationship between the anatomic of the vastus medialis and surgery approaches in total knee arthroplasty Abstract Background： Total knee arthroplasty(TKA) has been becoming the best treatment method to cure knee osteoarthritis. TKA has been highly successful procedure with the goals to relieve patient pain, improve the knee function,Correct knee articular valgus and varus deformity. There are large quantities of cases showing components survival rates of more than 90% in follow-up over 10 years【1 2 3】. Statistical data shows that there are more than 51% people having knee osteoarthritis over the age of 60 and are accepted to undertake TKA patients increasing year by year in China【4】. The TKA procedure is complexity, there are a lot of influence factors of outcome in it, included proper patient selection, surgical technique, the choice reasonable components, quality of the prosthesis, postoperative rehabilitation. The appropriate surgical approach is the most important for exposure in TKA procedure. There are several common knee replacement approaches, medial parapatellar, midvastus and subvastus approaches, all of them relevant anatomy are closely related with the vastus medialis.1. The vastus medialis morphology is important for choice TKA surgery exposure approaches and assessment of this may be help surgeon to choose which approach in the procedure. 2. How to assess the advantage and disadvantage of TKA approach is closely related with whether to damage of the vastus medialis.3. It is obvious relationship between postoperative complications and the injury of vastus medialis muscle, particularly to facilitate patellar complications, these complications include subluxation, dislocations, and avascular induced fracture of the patella. There have been only a few reports about the anatomy of the vastus medialis. which could not satisfy the applied anatomy of TKA.