德国人的膝关节置换课件..pptVIP

Conclusion 结论 Components can be used in various combinations 能应用于不同情况 Minimal invasive technique is possible 使微创成为可能 A wide intraoperative flexibility 术中灵活性 Identical cuts used for rotating-hinge knee 同样的截骨还可应用旋转铰链假体 Endo-Model and MEGASYSTEM-C * * tibial plateau tibial plateau polyethylene plateau 聚乙烯垫片 Dished surface provides congruency of the articulating planes 深盘状表面提供关节接触面的匹配 It stabilizes the knee joint even in absence of the PCL 即使在PCL缺如的情况下也能稳定膝关节 Large area of load transmission, less wear 大的应力传导面，磨损少 0 mm 4 mm 8 mm polyethylene plateau 聚乙烯垫片 In increasing flexion the femoral condyles glide backwards 增加屈膝时的后滚 polyethylene plateau 聚乙烯垫片 surgeons manual: ? …you can combine any size of femoral component with any size of tibial baseplate…“ 医生手册：“可以将任何型号的股骨假体和任何 型号的胫骨托进行匹配 uniform mechanism of fixation of the polyethylene, which must have the size of the femoral component 聚乙烯垫片的统一固定机制，需要和股骨假体型号进行匹配 polyethylene plateau聚乙烯垫片 Restriction 限制 ! combination of a smaler tibial baseplate to a femoral Component 胫骨托的型号不要小于股骨假体 polyethylene plateau is oversized ! 等于或大于没有问题 polyethylene plateau聚乙烯垫片 polyethylene plateau polyethylene plateau femoral component and patella 股骨假体和髌骨 too much patello-femoral pressure or an incomplete tracking (?snapping“) of the patella causes anterior knee pain 太大的髌骨压力或不完全髌骨轨道 (?snapping“)会导致膝前痛 10 % after TKR TKR后10% femoral component and patella reduction of patello-femoral pressure 减少髌股压力 thin and high patellar glide 髌骨轨道又薄又长 anatomical shaped patellar groove 髌骨滑车解剖型设计 股骨假体和髌骨 femoral component and patella reduction of patello-femoral pressure 减少髌-股压力 less invasive, ?ballanced“ approach is possible 微创，“平衡的”入路成为可能 backward translation in flexion reduces pressure to the patellar joint 屈膝时的后滚同样降低髌股关节压力 股骨假体和髌骨 femoral component and patella no or less resection-arthroplasty of the patella 不需要或少的髌骨成型 resection of exophytic bone 截骨或植骨 股骨假体和髌骨 femoral component and patella 股骨假体和髌骨 ?Ballanced“ patella