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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) ›› 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
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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]. 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]. 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。

关键词: 关节成形术，置换，膝, 截骨术, 股骨骨折, 假体和植入物, 成像，三维

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.

Key words: Arthroplasty, replacement, knee, Osteotomy, Femoral fracture, Prostheses and implants, Printing, three-dimensional
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