Instability following total knee arthroplasty

doi:10.3877/cma.j.issn.1674-134X.2022.01.009

Abstract

Abstract:

Total knee arthroplasty(TKA) is currently the main surgical method for the treatment of knee osteoarthritis, rheumatoid arthritis and other knee diseases. It has a good effect in reducing the pain of diseased joints and improving joint function. The goal of TKA is to restore normal knee function and stability. However, among patients receiving TKA, up to 20% of patients are dissatisfied with the postoperative effect, and joint instability is one of the main causes of postoperative dissatisfaction. Discussing joint instability is helpful to improve product design and manufacturing concepts and improve product performance. At the same time, it can help surgeons optimize surgical techniques and reduce joint instability caused by human factors. There are many factors that affect joint instability. The impact of prosthesis (such as prosthesis design, prosthesis selection), surgical technique (such as osteotomy error, joint line level) and patient factors (such as age, gender, weight), etc. The stability after joint replacement has an important impact. Joint instability is a common indication for knee revision, and most conservative treatments are ineffective. Therefore, it should be prevented by optimizing the design of the prosthesis, improving the surgical technique, and guiding the rehabilitation of the patient.

Key words: Arthroplasty, replacement, knee

Bo Li, Dongsong Li, Zeheng Li, Yuanqiang Cheng, Wei Feng, Yan Xu, Jianguo Liu. Instability following total knee arthroplasty[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2022, 16(01): 55-60.

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References 51

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分类	具体因素
假体和器械因素	股骨假体半径设计稳定评估装置
	PS假体与CR假体
	不同制造商
手术因素	截骨误差
	关节线升高
	截骨技术
	软组织情况
	胫骨平台后倾角度
患者因素	年龄
	性别
	体重
	神经肌肉疾病

分类	具体因素
假体和器械因素	股骨假体半径设计稳定评估装置
	PS假体与CR假体
	不同制造商
手术因素	截骨误差
	关节线升高
	截骨技术
	软组织情况
	胫骨平台后倾角度
患者因素	年龄
	性别
	体重
	神经肌肉疾病

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