计算机辅助导航全膝关节置换术在治疗伴有关节外畸形的膝关节骨性关节炎方面的进展。

IF 1.8 2区 医学 Q2 ORTHOPEDICS Orthopaedic Surgery Pub Date : 2024-11-01 Epub Date: 2024-09-02 DOI:10.1111/os.14216
Chen Meng, Chuan Li, Yongqing Xu
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引用次数: 0

摘要

全膝关节置换术(TKA)是治疗终末期膝关节骨性关节炎的成熟疗法。然而,对于伴有关节外畸形的患者,传统的 TKA 技术可能会导致不满意的结果和更高的并发症发生率。本综述总结了导航 TKA 在治疗伴有关节外畸形的膝关节骨性关节炎中的应用。文章讨论了计算机导航系统的原理和潜在优势,包括改善组件对齐、软组织平衡和恢复机械轴。研究表明,与传统方法相比,导航 TKA 能有效矫正畸形、缓解疼痛、改善术后关节功能和生活质量。导航 TKA 在手术精确度、并发症发生率和功能恢复方面的优势也得到了强调。尽管存在学习曲线和成本等挑战,但导航 TKA 越来越成为关节外畸形膝骨关节炎患者在 TKA 中获得满意疗效不可或缺的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Progress in Computer-Assisted Navigation for Total Knee Arthroplasty in Treating Knee Osteoarthritis with Extra-Articular Deformity.

Total knee arthroplasty (TKA) is a well-established treatment for end-stage knee osteoarthritis. However, in patients with concomitant extra-articular deformities, conventional TKA techniques may lead to unsatisfactory outcomes and higher complication rates. This review summarizes the application of navigated TKA for treating knee osteoarthritis with extra-articular deformities. The principles and potential benefits of computer navigation systems, including improved component alignment, soft tissue balancing, and restoration of mechanical axis, are discussed. Research studies demonstrate that navigated TKA can effectively correct deformities, relieve pain, and improve postoperative joint function and quality of life compared with conventional methods. The advantages of navigated TKA in terms of surgical precision, lower complication rates, and superior functional recovery are highlighted. Despite challenges like the learning curve and costs, navigated TKA is an increasingly indispensable tool for achieving satisfactory outcomes in TKA for knee osteoarthritis patients with extra-articular deformities.

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来源期刊
Orthopaedic Surgery
Orthopaedic Surgery ORTHOPEDICS-
CiteScore
3.40
自引率
14.30%
发文量
374
审稿时长
20 weeks
期刊介绍: Orthopaedic Surgery (OS) is the official journal of the Chinese Orthopaedic Association, focusing on all aspects of orthopaedic technique and surgery. The journal publishes peer-reviewed articles in the following categories: Original Articles, Clinical Articles, Review Articles, Guidelines, Editorials, Commentaries, Surgical Techniques, Case Reports and Meeting Reports.
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