摘要
全膝关节置换术(TKA)是目前治疗终末期膝关节疾病的首选方法,它能够缓解疼痛、改善畸形、恢复力线、增加膝关节活动度及提高患者生活质量。目前,关于胫骨假体旋转对线的方法很多,主要包括胫骨结节、胫骨前后轴、胫骨前皮质、自我形合技术、计算机辅助导航技术、个性化截骨技术等,它们各有优缺点,但在临床上并没有达成共识。该文主要对胫骨近端的解剖学特点和TKA中胫骨假体旋转定位的方法等方面进行综述。旨在为临床骨科医生在行TKA时,选择合适的胫骨假体旋转对线方法提供一些参考。
Total knee replacement(TKA)is currently the preferred treatment for end-stage knee disease,and it can relieve pain,improve deformity,restore strength lines,increase knee range of motion,and improve patients’quality of life.At present,there are many methods for the rotation of alignment of tibial prosthesis,mainly including tibial tubercles,tibial anteroposterior axes,anterior tibial cortex,self-morphing technology,computer-aided navigation technology,personalized osteotomy technology,etc.Each of the methods above has its advantages and disadvantages,but there is no clinical consensus at present.This article mainly reviews the anatomical characteristics of the proximal tibia and the method of rotational positioning of tibial prosthesis in TKA,which aims to provide some reference for clinical orthopedic surgeons to select the appropriate tibial prosthesis rotation alignment method when performing TKA.
作者
蒋联建
刘勇
左陈冰
梁海波
李书振
JIANG Lianjian;LIU Yong;ZUO Chenbing;LIANG Haibo;LI Shuzhen(Graduate School,Yuajiang Medical College of Nationalities,Baise 533099,China;Orthopedic Surgery,Guangxi Hospital,the First Affiliated Hospital of Sun Yat-sen University,Nanning 530022,China)
出处
《广州医药》
2024年第8期836-842,共7页
Guangzhou Medical Journal
基金
广西医疗卫生适宜技术开发与推广应用项目(S2021041)。
关键词
全膝关节置换术
旋转对线
胫骨假体
解剖学
total knee replacement
rotate the alignment line
tibial prosthesis
anatomy
