并不是所有的膝盖都是一样的。

IF 4.9 1区医学 Q1 ORTHOPEDICS

Bone & Joint Journal Pub Date : 2024-06-01 DOI:10.1302/0301-620X.106B6.BJJ-2023-1292.R1

Samuel J MacDessi, Victor A van de Graaf, Jil A Wood, William Griffiths-Jones, Johan Bellemans, Darren B Chen

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引用次数: 0

摘要

在全膝关节置换术中，机械性对齐的目的是将所有膝关节对齐到一个固定的中立位，尽管并非所有膝关节都是一样的。因此，机械性对齐往往会改变患者的体位对齐和关节线斜度，从而导致软组织失衡。本注释概述了如何利用膝关节冠状面对齐（CPAK）分类来预测机械性对齐的不平衡，然后为骨平衡提供实用指导，最大限度地减少软组织松解的需要。

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Not all knees are the same.

The aim of mechanical alignment in total knee arthroplasty is to align all knees into a fixed neutral position, even though not all knees are the same. As a result, mechanical alignment often alters a patient's constitutional alignment and joint line obliquity, resulting in soft-tissue imbalance. This annotation provides an overview of how the Coronal Plane Alignment of the Knee (CPAK) classification can be used to predict imbalance with mechanical alignment, and then offers practical guidance for bone balancing, minimizing the need for soft-tissue releases.

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来源期刊

Bone & Joint Journal ORTHOPEDICS-SURGERY

CiteScore

9.40

自引率

10.90%

发文量

318

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