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2014 | 10 | 1 |
Tytuł artykułu

Method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
To discuss the method and effect of total knee arthroplasty osteotomy and soft tissue release for serious knee joint space narrowing. Clinical data of 80 patients from October 2013 to December 2014 was selected with a retrospective method. All patients have undergone total knee arthroplasty. Then the X-rays plain film in weight loading was measured before and after operation and osteotomy was performed accurately according to the knee joint scores and the conditions of lower limb alignments. The average angle of tibial plateau osteotomy of postoperative patients was 4.3°, and the corrective angle of soft tissue balancing was 10.7°; the postoperative patients’ indicies including range of joint motion, knee joint HSS score, angle between articular surfaces, tibial angle, femoral-tibial angle and flexion contracture were distinctly better than the preoperative indicies (p<0.05) and the differences were statistically significant; the postoperative patients’ flexion contracture and range of joint motion were distinctly better than the preoperative indicies (p<0.05) and the differences were statistically significant. The effective release of the soft tissue of the posterior joint capsule under direct vision can avoid excess osteotomy and get satisfactory knee replacement space without influencing the patients’ joint recovery.
Wydawca

Czasopismo
Rocznik
Tom
10
Numer
1
Opis fizyczny
Daty
wydano
2015-01-01
otrzymano
2015-07-11
zaakceptowano
2015-11-10
online
2015-12-17
Twórcy
autor
  • Department of Orthopedics of Yulin Xingyuan Hospital of Shanxi, 719000, China, siyulou2008@qq.com
autor
  • Department of Cardiology of Yulin Xingyuan Hospital of Shanxi, 719000, China
autor
  • Department of Orthopedics of Yulin Xingyuan Hospital of Shanxi, 719000, China
Bibliografia
  • [1] Diange Z., Houshan L., Techniques of soft tissue balance in total knee arthroplasty of varus knee, Chinese Journal of Reparative and Reconstructive Surgery, 2006, 20(6), 602-606
  • [2] Weijun W., Dongsheng N., Balancing of soft tissues in total knee arthroplasty for patients with rheumatoid arthritis with knee flexion contracture, Chinese Journal of Reparative and Reconstructive Surgery, 2008, 22 (10), 1173-1176
  • [3] You W., Zhen’an Z., Dingwei S., et al., Balancing of soft tissues in total knee arthroplasty for patients with knee joint flexion contracture, Chinese Journal of Orthopedics, 2004, 24(4), 220-223
  • [4] Diange Z., Houshan L., Effect of soft tissue balance in total knee arthroplasty of varus knee, Chinese Journal of Orthopedics, 2001, 21(12), 718-720
  • [5] Ping Z., Shensong L., Xusheng L., Hongbin S., Qi T., Artificial knee arthroplasty for patients with serious knee joint space narrowing, Chinese Journal of Joint Surgery (Electronic Version), 2013,7(06), 863-866
  • [6] Bing M., Jianhua Y., Clinical research on total knee arthroplasty for knee osteoarthritis with valgus deformity, Shandong Medical Journal, 2008, 48(27), 53-54
  • [7] Jun M., Dongsheng N., Xiaoke S., et al., Clinical research on total knee arthroplasty for severe valgus deformity, Orthopedic Journal of China, 2011, 19 (11), 897-899
  • [8] Moreland J.R., Bassett L.W., Hanker G.J., Radiographic analysis of the axial alignment of the lower extremity, J. Bone Joint Surg. (Am),1987, 69(05), 745-749[Crossref]
  • [9] Junyong H., Dongliang X., Shiming Y., Tao P., Zhanchun L., Yongbiao L., Yusheng Z., Soft tissue balance in total knee arthroplasty of for serious knee osteoarthritis, Guangdong Medical Journal, 2006, 27 (02), 151-152
  • [10] Lewandows M.P.l., Askew M.J., Lin D.F., et al., Kinematics of posterior cruciate Iigament-retaining and-sacrificing mobile bearing total knee arthroplas, An in vitro comparison of the New lersry LCS meniscal bearing and rotating platform prostheses, J. Arthroplasty, 2001, 12(7), 777-784[Crossref]
  • [11] Lombardi A.V., Mallory T.H., Scott W.N., Scuderi G.R., et al., Dealing with tie-on contracture in total narthroplasty: bone resection versus soft tissue releases , Current concepts in primary and revision total knee arthroplasty, Philadelphia, Penusylvanh, Lippincott Raven, 1996, 191-202
  • [12] Wei S., Liu Y., Fuyou W., Quantitative study on pathologic changes of articular cartilage and subchondral bone from primary osteoarthritic of knees, Chinese Journal of Reparative and Reconstructive Surgery, 2011, 25, 1434-1439
  • [13] Koskinen E., Remes V., Paavolainen P., Results of total knee replacement with a cruciate-retaining modelfor severe valgus deformity-a study of 48 patients followed for an average of 9 years, 2011, 18, 145-150
  • [14] Lachiewicz P.F., Soileau E.S., Results of a second-generation constrained condylar prosthesis in primary total knee arthroplasty, 2011, 25, 95-105[WoS]
  • [15] Insall J.N., Historical development, classification and characteristic of knee prostheses Insall N., Windsor R.E., Scott W.N., et al., Surgery of the knee. 3rd Ed. New York: Churchill Living Stone, 2003, 677-731
  • [16] Chengpei Z., Zongke Z., Bin S., et al., Total knee arthroplasty for rheumatold arthritis with severe knee flexion deformity: mid-long term follow-up visit, Chinese Journal of Joint Surgery (electronic version), 2012, 6, 689-694
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_med-2015-0079
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