关节线和膝关节截骨术

IF 4.3 2区医学 Q1 ORTHOPEDICS

Efort Open Reviews Pub Date : 2024-05-10 DOI:10.1530/EOR-24-0037

Andrea Pratobevera, Romain Seil, Jacques Menetrey

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引用次数: 0

摘要

这篇综述探讨了膝关节截骨术与额面关节线方向之间错综复杂的关系，强调了关节线对膝关节受力和运动学影响的动态性质。在手术规划中，考虑冠状对齐、膝关节表型和相关角度（胫骨内侧近端角（MTPA）、股骨外侧远端角（LDFA）、关节线汇聚角（JLCA））对避免关节线畸形至关重要。双水平截骨术被认为是一种有效的选择，尤其是对于严重畸形；然而，不能仅根据术后关节线偏斜度（JLO）和MPTA的预测值来选择目标患者。

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Joint line and knee osteotomy.

This review explores the intricate relationship between knee osteotomy and frontal plane joint line orientation, emphasizing the dynamic nature of the joint line's influence on knee forces and kinematics. Consideration of coronal alignments, knee phenotypes, and associated angles (medial proximal tibial angle (MTPA), lateral distal femoral angle (LDFA), joint line convergence angle (JLCA)) becomes crucial in surgical planning to avoid joint line deformities. The double-level osteotomy is to be considered a valid option, especially for severe deformities; however, the target patient cannot be selected solely based on high predicted postoperative joint line obliquity (JLO) and MPTA.

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来源期刊

Efort Open Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

6.60

自引率

2.90%

发文量

101

审稿时长

13 weeks

期刊介绍： EFORT Open Reviews publishes high-quality instructional review articles across the whole field of orthopaedics and traumatology. Commissioned, peer-reviewed articles from international experts summarize current knowledge and practice in orthopaedics, with the aim of providing systematic coverage of the field. All articles undergo rigorous scientific editing to ensure the highest standards of accuracy and clarity. This continuously published online journal is fully open access and will provide integrated CME. It is an authoritative resource for educating trainees and supports practising orthopaedic surgeons in keeping informed about the latest clinical and scientific advances. One print issue containing a selection of papers from the journal will be published each year to coincide with the EFORT Annual Congress. EFORT Open Reviews is the official journal of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) and is published in partnership with The British Editorial Society of Bone & Joint Surgery.