Salvage Options for the Failed Total Knee 
Arthroplasty.

Instructional course lectures Pub Date : 2024-01-01
David Kugelman, Joseph Robin, Vinay Aggarwal, Thorsten Seyler, Brett Levine, Ran Schwarzkopf
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引用次数: 0

Abstract

Total knee arthroplasty (TKA) is one of the most popular and successful procedures of the past century. However, as the number of TKAs continues to increase, the volume of revision surgeries also will increase. Although revision TKAs are often successful, adult reconstruction surgeons will likely continue to see patients with limited arthroplasty options after multiple failed revision TKAs. This raises the question of limb salvage versus transfemoral amputation as the final procedure option. It is important to review modern techniques for the patient who has undergone multiple revision TKAs with significant bone loss or chronic infection. These techniques include distal femur replacement, total femur arthroplasty, knee arthrodesis, and transfemoral amputation.

全膝关节置换术失败后的挽救方案
全膝关节置换术(TKA)是上世纪最流行、最成功的手术之一。然而,随着 TKA 数量的不断增加,翻修手术的数量也将随之增加。虽然翻修 TKA 通常都能取得成功,但成人重建外科医生可能会继续接诊多次翻修 TKA 失败后关节成形术选择有限的患者。这就提出了肢体挽救与经股截肢作为最终手术选择的问题。对于接受过多次翻修 TKA 并伴有严重骨质流失或慢性感染的患者,回顾一下现代技术非常重要。这些技术包括股骨远端置换术、全股关节置换术、膝关节固定术和经股截肢术。
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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