切换至 "中华医学电子期刊资源库"

中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (06) : 707 -711. doi: 10.3877/cma.j.issn.1674-134X.2021.06.009

综述

全膝关节置换术中股骨前皮质切迹的研究进展
王北洋1, 王仁伟2, 胡宇奇2, 任伟平2, 张志强2,()   
  1. 1. 030012 太原,山西医科大学;030001 太原,山西医科大学第二医院骨科
    2. 030001 太原,山西医科大学第二医院骨科
  • 收稿日期:2020-10-12 出版日期:2021-12-01
  • 通信作者: 张志强

Research progress of anterior femoral notching in total knee arthroplasty

Beiyang Wang1, Renwei Wang2, Yuqi Hu2, Weiping Ren2, Zhiqiang Zhang2,()   

  1. 1. Shanxi Medical University, Taiyuan 030012, China; Department of Joint, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
    2. Department of Joint, the Second Hospital of Shanxi Medical University, Taiyuan 030001, China
  • Received:2020-10-12 Published:2021-12-01
  • Corresponding author: Zhiqiang Zhang
引用本文:

王北洋, 王仁伟, 胡宇奇, 任伟平, 张志强. 全膝关节置换术中股骨前皮质切迹的研究进展[J/OL]. 中华关节外科杂志(电子版), 2021, 15(06): 707-711.

Beiyang Wang, Renwei Wang, Yuqi Hu, Weiping Ren, Zhiqiang Zhang. Research progress of anterior femoral notching in total knee arthroplasty[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(06): 707-711.

股骨前皮质切迹是指全膝关节置换术(TKA)术中股骨前髁截骨不良,导致的股骨前方皮质受损现象,在TKA术中并不少见。切迹深度过大会增高TKA术后股骨髁上骨折概率、导致矢状位力线不稳、降低假体使用寿命等危害。为了提高临床医师对于切迹的重视,增加TKA术后患者满意度。本文纳入有意义的40篇TKA中股骨前皮质切迹相关文献,对当前切迹产生的原因、危害及可能的预防方式作一综述。

Notch is an anterior femoral cortical lesion caused by poor osteotomy of the anterior femoral condyle in total knee arthroplasty (TKA), which is common in TKA. Excessive notch depth can increase the probability of supracondylar fracture offemur after TKA, which causes instability of sagittal force line and decrease the life of prosthesis. In order to improve the importance of notch for clinicians and increase patient’s satisfaction after TKA, in this review 40 articles were included, the hazards and possible preventive methods were reviewed.

[1]
Nwachukwu B, Bozic KJ, Schairer WW, et al. Current status of cost utility analyses in total joint arthroplasty: a systematic review[J]. Clin Orthop Relat Res, 2015, 473(5): 1815-1827.
[2]
Neuprez A, Neuprez AH, Kaux JF, et al. Early clinically relevant improvement in quality of life and clinical outcomes 1 year postsurgery in patients with knee and hip joint arthroplasties[J]. Cartilage, 2018, 9(2): 127-139.
[3]
Minarro JC, Urbano-Luque MT, López-Jordán A, et al. Is the fracture pattern in periprosthetic fractures around the knee related with the anterior femoral notch?[J]. J Clin Orthop Trauma, 2018, 9(4): 289-291.
[4]
Gujarathi N, Putti AB, Abboud RJ, et al. Risk of periprosthetic fracture after anterior femoral notching[J]. Acta Orthop, 2009, 80(5): 553-556.
[5]
孙云波,刘军,田峥巍,等.全膝关节置换股骨切迹发生因素分析及远期随访研究[J].中国矫形外科杂志201119(13):1073-1076.
[6]
Mclawhorn AS, Carroll KM, Blevins JL, et al. Template-directed instrumentation reduces cost and improves efficiency for total knee arthroplasty: an economic decision analysis and pilot study[J]. J Arthroplasty, 2015, 30(10): 1699-1704.
[7]
Wangroongsub Y, Cherdtaweesup S. Proper entry point for femoral intramedullary guide in total knee arthroplasty[J]. J Med Assoc Thai, 2009, 92 Suppl 6:S1-S5.
[8]
徐志宏,徐嘉诚,陈东阳,等.全膝关节置换术股骨髓外定位系统的研制及初步临床应用[J].中华骨科杂志201636(15):955-963.
[9]
Plaskos C, Hodgson AJ, Inkpen K, et al. Bone cutting errors in total knee arthroplasty[J]. J Arthroplasty, 2002, 17(6): 698-705.
[10]
Victor J, Dujardin J, Vandenneucker H, et al. Patient-specific guides do not improve accuracy in total knee arthroplasty: a prospective randomized controlled trial[J]. Clin Orthop Relat Res, 2014, 472(1): 263-271.
[11]
Kia M, Wright TM, Cross MB, et al. Femoral component external rotation affects knee biomechanics: a computational model of posterior-stabilized TKA[J]. Clin Orthop Relat Res, 2018, 476(1): 113-123.
[12]
Fitzgerald SJ, Trousdale RT. Why knees fail in 2011: patient, surgeon, or device?[J]. Orthopedics, 2011, 34(9): e513-e515.
[13]
吴鹏,陈雷,郎俊哲.人工全膝关节置换术股骨假体矢状位位置的影响因素[J].中国骨伤201629(4):340-344.
[14]
Aaron RK, Scott R. Supracondylar fracture of the femur after total knee arthroplasty[J]. Clin Orthop Relat Res, 1987, (219): 136-139.
[15]
Culp RW, Schmidt RG, Hanks G, et al. Supracondylar fracture of the femur following prosthetic knee arthroplasty[J]. Clin Orthop Relat Res, 1987,(222):212-222.
[16]
Merkel KD, Johnson EW Jr. Supracondylar fracture of the femur after total knee arthroplasty[J]. J Bone Joint Surg Am, 1986, 68(1):29-43.
[17]
Lesh ML, Schneider DJ, Deol G, et al. The consequences of anterior femoral notching in total knee arthroplasty. A biomechanical study[J]. J Bone Joint Surg Am, 2000, 82(8):1096-1101.
[18]
周建华. 三维有限元分析全膝关节置换术后股骨前皮质切迹对股骨髁上应力的影响[D]. 遵义:遵义医学院,2018.
[19]
Ritter MA, Thong AE, Keating EM, et al. The effect of femoral notching during total knee arthroplasty on the prevalence of postoperative femoral fractures and on clinical outcome[J]. J Bone Joint Surg Am, 2005, 87(11): 2411-2414.
[20]
翁伟峰,潘福根,刘宁,等.全膝关节置换术中股骨假体屈曲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201220(15): 1416-1419.
[21]
Ng FY, Jiang XF, Zhou WZ, et al. The accuracy of sizing of the femoral component in total knee replacement[J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(10): 2309-2313.
[22]
Skwara A, Tibesku CO, Ostermeier S, et al. Differences in patellofemoral contact stresses between mobile-bearing and fixed-bearing total knee arthroplasties: a dynamic in vitro measurement[J]. Arch Orthop Trauma Surg, 2009, 129(7): 901-907.
[23]
Collier MB, Engh CA, Mcauley JP, et al. Osteolysis after total knee arthroplasty: influence of tibial baseplate surface finish and sterilization of polyethylene insert[J]. J Bone Joint Surg Am, 2005, 87(12): 2702-2708.
[24]
O′Rourke MR, Callaghan JJ, Goetz DD, et al. Osteolysis associated with a cemented modular posterior-cruciate-substituting total knee design: five to eight-year follow-up[J]. J Bone Joint Surg Am, 2002, 84(8):1362-1371.
[25]
Kessler O, Patil S, Colwell CJ, et al. The effect of femoral component malrotation on patellar biomechanics[J]. J Biomech, 2008, 41(16): 3332-3339.
[26]
张宝,许建中,李广恒,等.膝关节置换股骨髁前后径与内外径测量的临床意义[J].中华骨与关节外科杂志20169(2):145-148.
[27]
贺强,马建兵,孙相祥,等.全膝关节置换术前测量胫骨平台内翻角在预测股骨远端扭转角中的作用[J].中华骨科杂志201737(19):1216-1222.
[28]
Ma LY, Wei HY, Wan FY, et al. An innovative three-dimensional method for identifying a proper femoral intramedullary entry point in total knee arthroplasty[J]. Chin Med J (Engl), 2018, 131(21): 2531-2536.
[29]
冷重光,赵江涛,陈崇民,等.计算机导航辅助下人工全膝关节置换术[J].中华骨科杂志200626(10):666-670.
[30]
张闻,邵俊杰,张先龙.计算机导航对人工全膝关节置换术下肢旋转对线的影响[J].中华骨科杂志200828(10):819-823.
[31]
Stulberg SD, Loan P, Sarin V. Computer-assisted navigation in total knee replacement: results of an initial experience in thirty-five patients[J]. J Bone Joint Surg Am, 2002, 84-A Suppl 2:90-98.
[32]
Venkatesan M, Mahadevan D, Ashford RU. Computer-assisted navigation in knee arthroplasty: a critical appraisal[J]. J Knee Surg. 2013, 26(5):357-261. DOI: 10.1055/s-0033-1341581.
[33]
李杨,田华,耿霄.计算机导航系统、3D打印截骨导板与传统器械对全膝关节置换术手术时间和下肢力线恢复的影响[J].中华医学杂志201898(27):2157-2161.
[34]
Schubert C, van Langeveld MC, Donoso LA. Innovations in 3D printing: a 3D overview from optics to organs[J]. Br J Ophthalmol, 2014, 98(2):159-161.
[35]
李杨,田华,张克.3D打印技术在骨科膝关节置换术教学中的应用[J].中华医学教育杂志201838(5):734-738.
[36]
Meijer MF, Boerboom AL, Bulstra SK, et al. Do CAS measurements correlate with Eos 3D alignment measurements in primary TKA?[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25(9): 2894-2903.
[37]
柯松,宋鑫,徐源,等.3D打印截骨导板辅助全膝关节置换术中股骨切迹发生原因的初步研究[J].中华骨与关节外科杂志201912(8):589-593, 598.
[38]
Kreuzer SW, Pourmoghaddam A, Leffers KJ, et al. Computed tomography analysis of postsurgery femoral component rotation based on a force sensing device method versus hypothetical rotational alignment based on anatomical landmark methods: a pilot study[J/OL]. Adv Orthop, 2016, 2016:4961846. DOI:10.1155/2016/4961846.
[39]
符得红.全膝关节置换术中间隙平衡技术的应用进展[J].中国骨与关节损伤杂志201833(4):446-448.
[40]
Kawahara S, Mawatari T, Iwamoto Y, et al. Femoral sizer design can increase anterior notching during total knee arthroplasty[J]. Knee, 2016, 23(5): 890-894.
[41]
杜明昌,柳椰,翟良全,等.定制3D打印截骨导板辅助双膝关节同期置换的临床疗效观察[J/CD].中华关节外科杂志(电子版)201812(1):18-23.
[42]
余宝禧,傅明,张志奇,等.股骨远端前皮质平面在全膝关节置换术中判断股骨假体外旋角度的参考意义[J/CD].中华关节外科杂志(电子版)201610(2):54-58
[43]
翟文亮,王霏,陈闽贞,等.全膝关节置换术中股骨前髁厚度的影像学研究[J/CD].中华关节外科杂志(电子版)20159(3): 324-327.
[1] 许银峰, 盛璞义, 余世明, 张阳春. 偏心性髋臼旋转截骨术治疗发育性髋关节发育不良[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 568-574.
[2] 李焕玺, 何淳诺, 田志敏, 周胜虎, 吴昊越, 张浩强. 全膝关节置换术后股骨远端假体周围骨折治疗现状[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 630-637.
[3] 王相迎, 杨长生, 曲铁兵. 固定平台单髁置换假体合适位置的研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 638-645.
[4] 谢佳乐, 李琦, 芦升升, 姜劲松. 内侧膝骨关节炎伴胫股关节冠状半脱位的手术治疗[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 653-657.
[5] 任俊筱, 浦路桥, 王志豪, 施洪鑫, 刘爱峰, 齐保闯, 徐永清, 李川. 机器人辅助全膝关节置换术的临床疗效对照研究[J/OL]. 中华关节外科杂志(电子版), 2024, 18(04): 469-476.
[6] 许亚龙, 巩栋, 陈晓涛. 超前镇痛在全膝关节置换术中的研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(04): 517-523.
[7] 丁莹莹, 宋恺, 金姬延, 田华. 机器人辅助膝髋关节置换术后精细化临床护理[J/OL]. 中华关节外科杂志(电子版), 2024, 18(04): 553-557.
[8] 王啸, 李一凡, 沈素红, 曹国瑞, 史小涛, 袁彦浩, 谭红略. 全膝关节置换术后早期下肢深静脉血栓形成的时空规律[J/OL]. 中华关节外科杂志(电子版), 2024, 18(03): 414-420.
[9] 蒋政, 郑楠, 毛彦杰, 何阿祥, 林蔚铭, 郭瀚, 刘语嫣, 臧慧, 王聪, 刘万军. 关于胫骨高位截骨术后髌股关节变化的研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(03): 398-404.
[10] 杨士慷, 曹光磊. 膝骨关节炎三种术式患者满意度的术前影响因素[J/OL]. 中华关节外科杂志(电子版), 2024, 18(03): 390-397.
[11] 张江礼, 刘金辉, 潘西庆, 刘光源, 范虓. 全膝关节置换应用智能辅助手术导航系统治疗膝骨关节炎[J/OL]. 中华关节外科杂志(电子版), 2024, 18(03): 346-351.
[12] 王冰, 孙海宁, 于秀淳, 周珂, 翟凯, 苗族康. 膝骨关节炎的活动衬垫型单髁置换疗效与假体生存率[J/OL]. 中华关节外科杂志(电子版), 2024, 18(03): 337-345.
[13] 卢芳连, 汤莉, 何河北, 李建云, 欧栓机, 陈燕, 陈娇妹. 责任护士主导的疼痛管理在膝关节置换术后的应用[J/OL]. 中华关节外科杂志(电子版), 2024, 18(02): 285-289.
[14] 刘浩, 郑清源, 程龙, 辛鹏, 吴博, 任鹏, 张国强. 全膝关节置换术中选择窄版股骨假体的影响因素[J/OL]. 中华关节外科杂志(电子版), 2024, 18(02): 193-200.
[15] 焦振东, 惠鹏, 金上博. 三维可视化结合ICG显像技术在腹腔镜肝切除术治疗复发性肝癌中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 859-864.
阅读次数
全文


摘要