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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) : 725 -731. doi: 10.3877/cma.j.issn.1674-134X.2021.06.012

综述

髌股关节异常对全膝关节置换术后功能的影响
张延超1, 周勇刚2,†(), 高志森3, 孙菁阳1   
  1. 1. 100853　北京，解放军医学院；100853　北京，解放军总医院第一医学中心骨科；100048　北京，解放军总医院第四医学中心骨科医学部
    2. 100853　北京，解放军总医院第一医学中心骨科；100048　北京，解放军总医院第四医学中心骨科医学部
    3. 100048　北京，解放军总医院第四医学中心骨科医学部
  • 收稿日期:2021-05-09 出版日期:2021-12-01
  • 通信作者: 周勇刚

Effect of patellofemoral abnormality on function after total knee arthroplasty

Yanchao Zhang1, Yonggang Zhou2,†(), Zhisen Gao3, Jingyang Sun1   

  1. 1. Medical School of Chinese PLA, Beijing 100853, China; Department of Orthopedics, the First Medical Center of PLA General Hospital, Beijing 100853, China; Senior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China
    2. Department of Orthopedics, the First Medical Center of PLA General Hospital, Beijing 100853, China; Senior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China
    3. Senior Department of Orthopedics, the Fourth Medical Center of PLA General Hospital, Beijing 100048, China
  • Received:2021-05-09 Published:2021-12-01
  • Corresponding author: Yonggang Zhou
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张延超, 周勇刚, 高志森, 孙菁阳. 髌股关节异常对全膝关节置换术后功能的影响[J]. 中华关节外科杂志(电子版), 2021, 15(06): 725-731.

Yanchao Zhang, Yonggang Zhou, Zhisen Gao, Jingyang Sun. Effect of patellofemoral abnormality on function after total knee arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(06): 725-731.

人工全膝关节置换术是治疗各种终末期膝骨关节疾病的标准术式，假体十年在位率超过90%。然而，仍有15%~20%的患者对治疗结果不满意，在这部分人群中，髌股关节异常引起的膝前痛及关节活动度减少可能是患者对治疗结果不满意的最重要原因。髌股关节异常主要包括髌骨轨迹异常、髌股关节复合体增厚以及髌股关节不稳等，而引起髌股关节异常的原因又可分为患者因素、手术因素以及假体因素，其中，手术因素与外科医生关系最为密切，是影响术后功能恢复结果的重点。

关键词: 关节成形术，置换，膝, 髌股疼痛综合征, 手术后并发症

Total knee arthroplasty has been shown to be reliable at improving function in the patients with end-stage arthritis of the knee. The ten-year survivorship exceeds 90%. However, there are 15%-20% of patients who report dissatisfaction following primary TKA. In this crowd, anterior knee pain and decreased range of motion caused by patellofemoral abnormality may be the most important reason for patient′s dissatisfied with the treatment results. Patellofemoral abnormality mainly includes patellar maltracking, thickened patellofemoral composite and patellofemoral instability. In addition, the causes of patellofemoral abnormality include patient-related factors, surgical-related factors and prosthesis-related factors. Among them, surgical-related factors are vital for the postoperative functional recovery and most relevant to surgeons.

Key words: Arthroplasty, replacement, knee, Patellofemoral pain syndrome, Postoperative complications
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