德国人膝关节置换PPT课件.pptx

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Generalremarks总评?designandinstrumentsofkneereplacementsystemsaregettingmoreandmoresimilar““不同膝关节置换系统的设计和器械越来越相似”?thebetterthesystemsget,themoreaccuratethesurgicaltechniquehastobe““系统越好,外科技术的精确性也应该越高”?manyproblemsafterTKRaremorerelatedtoawrongimplantationtechniquethantomaterialordesignproblems“?TKR后的许多问题更多的是由于错误的植入技术造成,而不是材料或设计的问题2

WhychoosetheGemini?SL?为何选择Gemini?SLWhatarethespecialadvantagesunitedinthissystemincomparisontoothers?相对于其他系统,该系统有什么特殊优点?Whichsurgicalproblemscanbeavoided?能避免什么样的技术失误?3

Advantagesreflectedinthesurgicaltechnique和外科技术有关的优势approach入路tibialplateau胫骨平台polyethyleneplateau聚乙烯垫片femoralcomponentandpatella股骨假体和髌骨4

Approach入路WithGeminiSLKneesystemMISispossibleGeminiSL系统同时可应用于微创5

Approach入路MISMinimalInvasivSurgery微创MinimalIncisionSurgery小切口!?skinIncisionisasecondaryresultwhenwepreservesofttissuesmuscleandtendons!“皮肤的小切口是我们保护了软组织、肌肉和肌腱的表现而已6

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approachnocontractileelementsincluded没有包括的收缩因素goodventralcoverage良好的腹侧固定incisionofthedifferentlayersnotoneuponanother只切开同侧?ballancedpatella“髌骨的平衡18

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Approach入路unilateraltibialresectionguideonthemedialtibialhead单侧胫骨截骨导向器放在胫骨平台内侧smallandatraumaticexposure暴露小而无创21

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tibialplateau胫骨平台Shapedinaccordancewiththeanatomyofthetibialhead解剖设计和胫骨平台良好匹配Perfectcoverageofthebonecontactsurface完美覆盖骨接触表面27

tibialplateau胫骨平台Youavoidoversizingandanycompromisingofthepopliteusmuscleordorsalcapsule避免过多处理或产生掴肌或背侧关节囊的任何妥协28

tibialplateau29

tibialplateau30

polyethyleneplateau聚乙烯垫片Dishedsurfaceprovidescongruencyofthearticulatingplanes深盘状表面提供关节接触面的匹配ItstabilizesthekneejointeveninabsenceofthePCL即使在PCL缺如的情况下也能稳定膝关节Largeareaofloadtransmission,lesswear大的应力传导面，磨损少31

0mm4mm8mmpolyethyleneplateau聚乙烯垫片Inincreasingflexionthefemoralcondylesglidebackwards增加屈膝时的后滚32

polyethyleneplateau