[1]童培建.复杂全膝关节置换术的手术策略[J].中医正骨,2013,25(01):3-7.
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复杂全膝关节置换术的手术策略()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年01期
页码:
3-7
栏目:
专家述评
出版日期:
2013-01-20

文章信息/Info

作者:
童培建
浙江中医药大学附属第一医院,浙江 杭州 310006
关键词:
关节成形术置换膝 关节畸形获得性 述评
摘要:
对于严重的膝关节畸形患者和特殊疾病膝关节畸形患者,全膝关节置换术的难度较大,对手术技术的要求较高。膝关节周围截骨术、单髁置换术等膝关节手术失败的患者,由于原手术切口、内植物的存在及术后骨性标志变化等因素,其全膝关节置换术也较复杂。而全膝关节置换术后出现关节活动受限、关节不稳、骨缺损、深部感染、伸膝装置破坏等并发症,或出现活动衬垫型假体聚乙烯垫脱出,需要行全膝关节置换翻修术时,处理起来亦相当棘手。不同限制程度的膝关节假体的出现及计算机导航技术的应用提高了复杂全膝关节置换术的疗效,但仍要求术者具有丰富的全膝关节置换手术经验,术前充分认识患膝情况和患者的病理特点及并发症出现的原因,对膝关节假体的选择和手术操作工具的应用非常熟悉,采取正确的手术策略,才能保证手术的成功。

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更新日期/Last Update: 2013-01-20