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中华关节外科杂志(电子版) ›› 2018, Vol. 12 ›› Issue (03) : 396 -400. doi: 10.3877/cma.j.issn.1674-134X.2018.03.017

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综述

全膝置换术中预防股骨及胫骨假体旋转对位对线不良的研究进展
李志文1, 廖威明1,()   
  1. 1. 510080 广州,中山大学附属第一医院
  • 收稿日期:2017-04-05 出版日期:2018-06-01
  • 通信作者: 廖威明

Research progress in prevention of malrotational alignment of femoral and tibial prostheses during total knee arthroplasty

Zhiwen Li1, Weiming Liao1,()   

  1. 1. Department of Orthopaedic Surgery, First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, China
  • Received:2017-04-05 Published:2018-06-01
  • Corresponding author: Weiming Liao
  • About author:
    Corresponding author: Liao Weiming, Email:
引用本文:

李志文, 廖威明. 全膝置换术中预防股骨及胫骨假体旋转对位对线不良的研究进展[J/OL]. 中华关节外科杂志(电子版), 2018, 12(03): 396-400.

Zhiwen Li, Weiming Liao. Research progress in prevention of malrotational alignment of femoral and tibial prostheses during total knee arthroplasty[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2018, 12(03): 396-400.

随着人口老龄化,我国需要进行人工全膝关节置换术(TKA)并可从中受益的病人将越来越多。在TKA术后,由于假体旋转而引起的假体对位对线不良,从而造成的髌股关节运动不良等并发症是膝关节翻修的重要原因,需要引起进一步的关注。膝关节假体旋转对位对线涉及到胫骨和股骨的正确定位、对线、截骨及假体的安放。在本文中,将对众多股骨及胫骨侧旋转对位对线的方法作一综述。

With the aging of the population, more and more patients will benefit from Total Knee Arthroplasty (TKA) in China. The poor movement of the patellofemoral joint due to the malalignment of the prosthesis after TKA is one of the important cause of the knee revision surgery, which needs further attention. The alignment of the knee prosthesis involves correct position, alignment, osteotomy of tibia and femur and placement of prosthesis. This article reviewed the methods of the prosthesis alignment in the femur and tibia.

[1]
李军,李阳,荆珏华,等.华南地区正常成人股骨远端髁扭转角测量及其临床意义[J/CD].中华关节外科杂志(电子版),2013,7(3):319-322.
[2]
Bell SW, Young P, Drury C, et al. Component rotational alignment in unexplained painful primary total knee arthroplasty[J]. Knee, 2014, 21(1):272-277.
[3]
Murakami AM, Hash TW, Hepinstall MS, et al. MRI evaluation of rotational alignment and synovitis in patients with pain after total knee replacement[J]. J Bone Joint Surg Br, 2012, 94(9):1209-1215.
[4]
Kuriyama S, Ishikawa M, Furu M, et al. Malrotated tibial component increases medial collateral ligament tension in total knee arthroplasty[J]. J Orthop Res, 2014, 32(12):1658-1666.
[5]
Liau JJ, Cheng CK, Huang CH, et al. The effect of malalignment on stresses in polyethylene component of total knee prostheses-a finite element analysis[J]. Clin Biomech (Bristol, Avon), 2002, 17(2):140-146.
[6]
Sadoghi P, Liebensteiner M, Agreiter M, et al. Revision surgery after total joint arthroplasty: a complication-based analysis using worldwide arthroplasty registers[J]. J Arthroplasty, 2013, 28(8):1329-1332.
[7]
冯宾,翁习生,林进,等.初次全膝关节置换术后并发症及翻修手术的原因分析[J].中华外科杂志,2015,53(2):106-109.
[8]
王波,马保安.全膝关节置换术股骨假体旋转定位的研究进展[J/CD].中华关节外科杂志(电子版),2015,5(5):651-654.
[9]
许红生,赵志江,孟位明,等.人体膝关节股骨后髁角度的MRI测量[J].中国组织工程研究,2014,26(26):4236-4240.
[10]
Yu B, Fu M, Zhang Z, et al. The plane of the distal femur anterior cortex is a useful index for femoral component rotation in total knee arthroplasty[J]. Orthopaedics, 2017, 14(1):59-61.
[11]
邓晓冬.国人全膝关节置换术中股骨远端旋转对线方法的研究[J].中医正骨,2014,26(8):3-7.
[12]
宋兵华,孙俊英,倪增良,等. 国人股骨远端旋转轴线的影像学研究及其临床意义[J]. 中国骨伤,2016,1(1):41-47.
[13]
Franceschini V, Nodzo SR, Gonzalez Della Valle A. Femoral component rotation in total knee arthroplasty: a comparison between transepicondylar axis and posterior condylar line referencing[J]. J Arthroplasty, 2016, 31(12):2917-2921.
[14]
Merican AM, Ghosh KM, Iranpour F, et al. The effect of femoral component rotation on the kinematics of the tibiofemoral and patellofemoral joints after total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2011, 19(9):1479-1487.
[15]
Amaranath JE, Moopanar TR, Sorial RM. Defining distal femoral anatomy for rotational alignment in total knee arthroplasty: a magnetic resonance imaging-based study[J]. ANZ J Surg, 2014, 84(11):852-855.
[16]
Park A, Duncan ST, Nunley RM, et al. Relationship of the posterior femoral axis of the "kinematically aligned" total knee arthroplasty to the posterior condylar, transepicondylar, and anteroposterior femoral axes[J]. Knee, 2014, 21(6):1120-1123.
[17]
吕国义,李贞旭,向旭,等.基于磁共振技术确定股骨远端旋转参照轴线[J].中国组织工程研究,2016,20(26):3916-3922.
[18]
Whiteside LA, Mccarthy DS. Laboratory evaluation of alignment and kinematics in a unicompartmental knee arthroplasty inserted with intramedullary instrumentation[J]. Clin Orthop Relat Res, 1992, 274(274):238-247.
[19]
Page SR, Pinzuti JB, Deakin AH, et al. Profile of the distal femur anterior cortex-a computer-assisted cadaveric study[J]. Orthop Traumatol Surg Res, 2011, 97(8):821-825.
[20]
Lee SY, Lim HC, Jang KM, et al. What factors are associated with femoral component internal rotation in TKA using the gap balancing technique?[J]. Clin Orthop Relat Res, 2017, 475(8):1999-2010.
[21]
Iizawa N, Mori A, Majima T, et al. Influence of the medial knee structures on valgus and rotatory stability in total knee arthroplasty[J]. J Arthroplasty, 2016, 31(3):688-693.
[22]
Witoolkollachit P, Seubchompoo O. The comparison of femoral component rotational alignment with transepicondylar axis in Mobile bearing TKA, CT-scan study[J]. J Med Assoc Thai, 2008, 91(7):1051-1058.
[23]
Dennis DA, Komistek RD, Kim RH, et al. Gap balancing versus measured resection technique for total knee arthroplasty[J]. Clin Orthop Relat Res, 2010, 468(1):102-107.
[24]
Tigani D, Sabbioni G, Ben Ayad R, et al. Comparison between two computer-assisted total knee arthroplasty: gap-balancing versus measured resection technique[J]. Knee Surg Sports Traumatol Arthrosc, 2010, 18(10):1304-1310.
[25]
王诗军,张树栋,赵中原,等.计算机导航全膝关节置换术与传统手术的比较(英文)[J/CD].中华关节外科杂志(电子版),2012,06(5):702-709.
[26]
Biasca N, Wirth S, Bungartz M. Mechanical accuracy of navigated minimally invasive total knee arthroplasty (MIS TKA)[J]. Knee, 2009, 16(1):22-29.
[27]
Zhang XL, Zhang W, Shao JJ. Rotational alignment in total knee arthroplasty: nonimage-based navigation system versus conventional technique[J]. Chin Med J (Engl), 2012, 125(2):236-243.
[28]
Cheng T, Zhao S, Peng X, et al. Does computer-assisted surgery improve postoperative leg alignment and implant positioning following total knee arthroplasty? A meta-analysis of randomized controlled trials[J]. Knee Surg Sports Traumatol Arthrosc, 2012, 20(7):1307-1322.
[29]
Cheng T, Zhang G, Zhang X. Imageless navigation system does not improve component rotational alignment in total knee arthroplasty[J]. J Surg Res, 2011, 171(2):590-600.
[30]
Cheng T, Pan XY, Mao X, et al. Little clinical advantage of computer-assisted navigation over conventional instrumentation in primary total knee arthroplasty at early follow-up[J]. Knee, 2012, 19(4):237-245.
[31]
张志伟,高耀祖,郭丽,等.髓内与髓外定位胫骨截骨对全膝关节置换术后胫骨假体力线影响的Meta分析[J/CD].中华关节外科杂志(电子版),2016,10(2):188-194.
[32]
Howell SM, Chen J, Hull ML. Variability of the location of the tibial tubercle affects the rotational alignment of the tibial component in kinematically aligned total knee arthroplasty[J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(10):2288-2295.
[33]
Sun T, Lu H, Hong N, et al. Bony landmarks and rotational alignment in total knee arthroplasty for Chinese osteoarthritic knees with varus or valgus deformities[J]. J Arthroplasty, 2009, 24(3):427-431.
[34]
Akagi M, Oh M, Nonaka T, et al. An anteroposterior axis of the tibia for total knee arthroplasty[J]. Clin Orthop Relat Res, 2004, 420(420):213-219.
[35]
余华晨,温宏,张宇,等.Akagi线作为全膝关节置换胫骨近端假体旋转对线的可靠性研究[J].中国骨伤,2015,28(10):884-887.
[36]
Kawahara S, Matsuda S, Okazaki K, et al. Relationship between the tibial anteroposterior axis and the surgical epicondylar axis in varus and valgus knees[J]. Knee Surg Sports Traumatol Arthrosc, 2012, 20(10):2077-2081.
[37]
Rossi R, Bruzzone M, Bonasia DE, et al. Evaluation of tibial rotational alignment in total knee arthroplasty: a cadaver study[J]. Knee Surg Sports Traumatol Arthrosc, 2010, 18(7):889-893.
[38]
Akagi M, Mori S, Nishimura S, et al. Variability of extraarticular tibial rotation references for total knee arthroplasty[J]. Clin Orthop Relat Res, 2005, 436(436):172-176.
[39]
Berhouet J, Beaufils P, Boisrenoult P, et al. Rotational positioning of the tibial tray in total knee arthroplasty: a CT evaluation[J]. Orthop Traumatol Surg Res, 2011, 97(7):699-704.
[40]
储小兵,吴海山,徐长明,等.胫骨假体旋转对线技术对髌股关节生物力学影响的实验研究[J].中国矫形外科杂志,2005,13(23):1795-1797, 1805.
[41]
刘锴.胫骨假体旋转对线技术影响髌股关节生物力学的作用机制[J].中国组织工程研究,2016,20(22):3301-3307.
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