全膝置换下肢力线-2011年广州终版.pptVIP

屈曲畸形的软组织松解 Bellemans Johan,et al.Clin Orthop Relat Res. 2006 ,452:78-82. 四 个 步 骤 切除骨赘 内侧副韧带松解 股骨截骨 后方关节囊 和腓肠肌 松解 股骨增加 截骨 腘肌腱 切断 谢 谢 / * * * V4 * * 398例TKA，15年随访 ±3°与假体生存时间无明显相关性 ±3°范围太广，不够精确 假体生存率与其它动态因素有关，肌肉、骨或神经因素 * * 去除骨赘；髂胫束胫骨后方止点；后方关节囊股骨止点； PCL； 腘肌腱；后外侧关节囊；LCL； 腓肠肌外侧头 * Our algorithm consisted of four steps executed until full extension was achieved: (1) mediolateral ligament balancing with resection of all osteophytes and overresection of the distal femur by 2 mm; (2) progressive posterior capsular release and gastrocnemius release; (3) additional resection of the distal femur up to