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[1]童培建.復(fù)雜全膝關(guān)節(jié)置換術(shù)的手術(shù)策略[J].中醫(yī)正骨,2013,25(01):3-7.
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復(fù)雜全膝關(guān)節(jié)置換術(shù)的手術(shù)策略()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期數(shù):
2013年01期
頁碼:
3-7
欄目:
專家述評
出版日期:
2013-01-20

文章信息/Info

作者:
童培建
浙江中醫(yī)藥大學(xué)附屬第一醫(yī)院,浙江 杭州 310006
關(guān)鍵詞:
關(guān)節(jié)成形術(shù)置換膝 關(guān)節(jié)畸形獲得性 述評
摘要:
對于嚴(yán)重的膝關(guān)節(jié)畸形患者和特殊疾病膝關(guān)節(jié)畸形患者,全膝關(guān)節(jié)置換術(shù)的難度較大,對手術(shù)技術(shù)的要求較高。膝關(guān)節(jié)周圍截骨術(shù)、單髁置換術(shù)等膝關(guān)節(jié)手術(shù)失敗的患者,由于原手術(shù)切口、內(nèi)植物的存在及術(shù)后骨性標(biāo)志變化等因素,其全膝關(guān)節(jié)置換術(shù)也較復(fù)雜。而全膝關(guān)節(jié)置換術(shù)后出現(xiàn)關(guān)節(jié)活動受限、關(guān)節(jié)不穩(wěn)、骨缺損、深部感染、伸膝裝置破壞等并發(fā)癥,或出現(xiàn)活動襯墊型假體聚乙烯墊脫出,需要行全膝關(guān)節(jié)置換翻修術(shù)時(shí),處理起來亦相當(dāng)棘手。不同限制程度的膝關(guān)節(jié)假體的出現(xiàn)及計(jì)算機(jī)導(dǎo)航技術(shù)的應(yīng)用提高了復(fù)雜全膝關(guān)節(jié)置換術(shù)的療效,但仍要求術(shù)者具有豐富的全膝關(guān)節(jié)置換手術(shù)經(jīng)驗(yàn),術(shù)前充分認(rèn)識患膝情況和患者的病理特點(diǎn)及并發(fā)癥出現(xiàn)的原因,對膝關(guān)節(jié)假體的選擇和手術(shù)操作工具的應(yīng)用非常熟悉,采取正確的手術(shù)策略,才能保證手術(shù)的成功。

參考文獻(xiàn)/References:

[1] Meftah M,Blum YC,Raja D,et al.Correcting fixed varus deformity with flexion contracture during total knee arthroplasty:the “inside-out” technique:AAOS exhibit selection[J].J Bone Joint Surg Am,2012,94(10):66.
[2] Rajgopal A,Dahiya V,Vasdev A,et al.Long-term results of total knee arthroplasty for valgus knees:soft-tissue release technique and implant selection[J].J Orthop Surg(Hong Kong),2011,19(1):60-63.
[3] Koskinen E,Remes V,Paavolainen P,et al.Results of total knee replacement with a cruciate-retaining model for severe valgus deformity-a study of 48 patients followed for an average of 9 years[J].Knee,2011,18(3):145-150.
[4] Mihalko WM,Whiteside LA.Bone resection and ligament treatment for flexion contracture in knee arthroplasty[J].Clin Orthop Relat Res,2003,(406):141-147.
[5] 童培建,何幫劍,儲小兵,等.伸直位骨性強(qiáng)直膝的全膝關(guān)節(jié)置換術(shù)[J].中華骨科雜志,2012.32(6):551-556
[6] 童培建.復(fù)雜人工膝關(guān)節(jié)置換[M].北京:人民衛(wèi)生出版社,2011:33-39.
[7] Clement ND,Breusch SJ,Biant LC.Lower limb joint replacement in rheumatoid arthritis[J].J Orthop Surg Res,2012,7:27.
[8] 童培建,李陶冶,俞楠澤,等.全膝關(guān)節(jié)置換術(shù)治療甲型血友病性膝關(guān)節(jié)炎的短期療效分析[J].中華外科雜志,2010,48(10):796-797.
[9] Parvizi J,Duffy GP,Trousdale RT.Total knee arthroplasty in patients with ankylosing spondylitis[J].J Bone Joint Surg Am,2001,83-A(9):1312-1316.
[10] Massin P,Bonnin M,Paratte S,et al.Total knee replacement in post-traumatic arthritic knees with limitation of flexion[J].Orthop Traumatol Surg Res,2011,97(1):28-33.
[11] Kim YH,Kim JS,Oh SW.Total knee arthroplasty in neuropathic arthropathy[J].J Bone Joint Surg Br,2002,84(2):216-219.
[12] Tigani D,Fosco M,Amendola L,et al.Total knee arthroplasty in patients with poliomyelitis[J].Knee,2009,16(6):501-506.
[13] 郭衛(wèi),王現(xiàn)海,李大森,等.腫瘤型人工膝關(guān)節(jié)置換治療膝關(guān)節(jié)骨肉瘤療效及并發(fā)癥分析[J].中華外科雜志,2007,45(12):825-828.
[14] Collins RA,Walmsley PJ,Amin AK,et al.Does obesity influence clinical outcome at nine years following total knee replacement?[J].J Bone Joint Surg Br,2012,94(10):1351-1355.
[15] Akasaki Y,Matsuda S,Miura H,et al.Total knee arthroplasty following failed high tibial osteotomy:mid-term comparison of posterior cruciate-retaining versus posterior stabilized prosthesis[J].Knee Surg Sports Traumatol Arthrosc,2009,17(7):795-799.
[16] Rancourt MF,Kemp KA,Plamondon SM,et al.Unicompartmental knee arthroplasties revised to total knee arthroplasties compared with primary total knee arthroplasties[J].J Arthroplasty,2012,27(8 Suppl):106-110.
[17] Qiu YY,Yan CH,Chiu KY,et al.Review article:bone defect classifications in revision total knee arthroplasty[J].J Orthop Surg(Hong Kong),2011,19(2):238-243.
[18] Shen H,Zhang X,Jiang Y,et al.Intraoperatively-made cement-on-cement antibiotic-loaded articulating spacer for infected total knee arthroplasty[J].Knee,2010,17(6):407-411.
[19] Parker DA,Dunbar MJ,Rorabeck CH.Extensor mechanism failure associated with total knee arthroplasty:prevention and management[J].J Am Acad Orthop Surg,2003,11(4):238-247.
[20] Namba RS,Inacio MC,Paxton EW,et al.Risk of revision for fixed versus mobile-bearing primary total knee replacements[J].J Bone Joint Surg Am,2012,94(21):1929-1935.
[21] 胡松峰,童培建.計(jì)算機(jī)導(dǎo)航在人工全膝關(guān)節(jié)置換術(shù)中的應(yīng)用[J].臨床骨科雜志,2007,10(4):369-371.
[22] Mihalko WM,Williams JL.Computer modeling to predict effects of implant malpositioning during TKA[J].Orthopedics,2010,33(10 Suppl):71-75.
[23] Seon JK,Song EK.Navigation-assisted less invasive total knee arthroplasty compared with conventional total knee arthroplasty:a randomized prospective trial[J].J Arthroplasty,2006,21(6):777-782.

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更新日期/Last Update: 2013-01-20