在全膝关节置换术中,我们多久需要一次矫正柄?大约连续789个膝盖。

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2023-01-01 DOI:10.1051/sicotj/2023012
Angelo V Vasiliadis, Timothy Lording, Robin Canetti, Elvire Servien, Sébastien Lustig, Cécile Batailler
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引用次数: 0

摘要

简介:本研究旨在确定偏置柄在翻修全膝关节置换术(rTKA)中使用的发生率,并评估其与股骨和胫骨假体一起使用的必要性。方法:本回顾性放射学研究纳入2010年至2022年期间接受rTKA的862例患者。患者分为非干组(NS组)、偏干组(OS组)和直干组(SS组)。两位资深骨科医生评估了所有OS组的术后x线片,以评估偏移使用的必要性。结果:共有789例患者符合所有入选标准,其中男性305例(38.7%),平均年龄72.7±10.2岁[39;96]。88例(11.1%)患者接受了偏干rTKA(34例胫骨,31例股骨,24例两者),609例(70.2%)患者接受了直干rTKA。在OS组的83次翻修(94.3%)和SS组的444次翻修(72.9%)中,胫骨和股骨干超过75mm (p)。讨论:11.1%的翻修全膝关节置换术使用偏移柄,然而,3.4%的翻修全膝关节置换术认为偏移柄是必要的,并且仅用于胫骨部分。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

How often do we need offset stems for revision total knee arthroplasty? About a consecutive series of 789 knees.

How often do we need offset stems for revision total knee arthroplasty? About a consecutive series of 789 knees.

How often do we need offset stems for revision total knee arthroplasty? About a consecutive series of 789 knees.

How often do we need offset stems for revision total knee arthroplasty? About a consecutive series of 789 knees.

Introduction: This study aimed to determine the incidence of offset stem usage in revision total knee arthroplasty (rTKA), and to assess the necessity for their use with the femoral and tibial components.

Methods: This retrospective radiological study included 862 patients who underwent rTKA between 2010 and 2022. Patients were divided into a non-stem group (group NS), offset stem group (group OS), and straight stem group (group SS). Two senior orthopedic surgeons evaluated all the post-operative radiographs of the group OS to assess the necessity of offset use.

Results: In total, 789 patients met all eligibility inclusion criteria and were reviewed (305 males (38.7%)) with a mean age of 72.7 ± 10.2 years old [39; 96]. Eighty-eight (11.1%) patients had undergone rTKA with offset stems (34 tibia, 31 femur, 24 both) and 609 (70.2%) with straight stems. The tibial and femoral stems were diaphyseal of over 75 mm in 83 revisions (94.3%) for group OS and 444 revisions (72.9%) for group SS (p < 0.001). Offset in the tibial component was located medially in 50% of rTKA, while the offset in the femoral component was placed anteriorly in 47.3% of the rTKA. Assessment by the two independent senior surgeons found stems were only necessary in 3.4% of cases. Offset stems were only required for the tibial implant.

Discussion: Offset stems were used in 11.1% of revision total knee replacements, however, they were deemed necessary in 3.4% and for the tibial component only.

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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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