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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (02) : 212 -216. doi: 10.3877/cma.j.issn.1674-134X.2020.02.014

所属专题： 文献；

综述

过度填充现象在全膝关节置换术中的研究进展
张国豪1, 张志强2,†()   
  1. 1. 030001　太原，山西医科大学
    2. 030001　太原，山西医科大学第二医院关节科
  • 收稿日期:2019-10-30 出版日期:2020-04-01
  • 通信作者: 张志强

Research progress on overstuffing in total knee arthroplasty

Guohao Zhang1, Zhiqiang Zhang2,†()   

  1. 1. Shanxi Medical University, Taiyuan 030001, China
    2. Department of Joint, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2019-10-30 Published:2020-04-01
  • Corresponding author: Zhiqiang Zhang
  • About author:
    Corresponding author: Zhang Zhiqiang, Email:
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张国豪, 张志强. 过度填充现象在全膝关节置换术中的研究进展[J]. 中华关节外科杂志(电子版), 2020, 14(02): 212-216.

Guohao Zhang, Zhiqiang Zhang. Research progress on overstuffing in total knee arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(02): 212-216.

全膝关节置换术已是老年骨关节炎标准治疗方式，但患者术后满意度仍不尽如人意。随着对手术认识和技术的提高，各种造成预后不良的原因被人们逐渐认识，而过度填充也成为一项重要影响因素。过度填充现象广泛存在于临床工作中，但往往易被忽略，其会造成膝前痛、髌骨轨迹不良、屈曲限制、髌股关节压力增加等多种不良后果；但仍有相关技术可以规避不良后果。本文由作者在中国知网(CNKI)，万方数据，中国生物医学期刊引文数据库(CMCI) ，Pubmed中完成文献检索，最终纳入有意义的47篇文章，对当前过度填充产生的影响及可能的解决方式作一综述。本文通过对过度填充现象的总结，让更多关节医师认识到过度填充带来的负面影响，更好地在手术过程中进行相关处理，从而使患者有更好的预后体验，提高满意度。

关键词: 关节成形术, 置换, 膝, 髌股疼痛综合征, 髌骨股关节

Total knee replacement has been the standard treatment for elderly osteoarthritis, but the postoperative satisfaction of patients is still not satisfactory .With the improvement of surgical knowledge and techniques , various causes of poor prognosis have been gradually recognized, and overstuffing has become an important factor. The phenomenon of overstuffing widely exists in clinical work, but it is easy to be ignored. It would cause a variety of adverse consequences, such as anterior knee pain, poor patellar track , flexion limitation and increased patellofemoral joint pressure. But there are still technologies to avoid the consequences. In this article, the author completed literature search in China National Knowledge Infrastruction(CNKI), WanFang data, Chines Medical Citation Index(CMCI)and Pubmed.Finally 47 articles were included to summarize the impact of current overstuffing and possible solutions. By summarizing the phenomenon of overstuffing, this review aimed to make more joint physicians realize the negative effects of overstuffing and better deal with them in the process of surgery, so that patients can have better prognosis experience and improve their satisfaction.

Key words: Arthroplasty, replacement, knee, Patellofemoral Pain syndrome, Patellofemoral joint
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