摘要
目的综述人工全膝关节置换术中股骨远端旋转力线定位标志的研究进展。方法广泛查阅近年国内外股骨远端旋转力线相关文献,并对其进行综合分析。结果若假体旋转力线对位不良将导致诸如髌骨脱位、弹响、磨损、髌前疼痛等多种髌股关节并发症。人工全膝关节置换术中确定股骨假体旋转力线的方法较多,常用方法包括股骨上髁轴线、前后轴线、股骨后髁线、屈曲间隙平衡技术、计算机导航技术等。正确选择旋转力线,对减少术后并发症和降低假体翻修率均至关重要。目前人工全膝关节置换术中选择合适的参照轴以保证股骨假体旋转力线对位的准确性仍有争议。结论股骨假体旋转力线是影响人工全膝关节置换术预后极其重要的环节。确定股骨假体旋转力线的方法有待进一步改进。
Objective To review the research progress of the location marker of rotational alignment of the distal femur. Methods The recent literature concerning the location marker of rotational alignment of the distal femur at home and abroad was extensively reviewed and analyzed. Results Femoral prosthesis malrotational alignment could lead to some patellofemoral complications, such as dislocation of the patella, snapping, wear, and patellar pain. There are many methods to determining femoral component rotational alignment in the artificial total knee arthroplasty, including transepicondylar axis line, anterior posterior axis, the posterior condyles line, flexion gap balance technology, and computer navigation technology. Correct choice of the rotational alignment of the distal femur is crucial in reducing postoperative complications and the revision rate. Suitable reference axis is chosen during total knee arthroplasty to ensure the accuracy of the rotation axis of the femoral prosthesis, but it is currently still controversial. Conclusion The rotational alignment of the distal femur is an extremely important part to affect the prognosis of total knee arthroplasty. The methods to determine the rotational alignment of the distal femur need to be further imnrnved
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2013年第1期54-57,共4页
Chinese Journal of Reparative and Reconstructive Surgery
基金
云南省社会发展科技计划资助项目(2009CA020)~~
