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Surgical Technique of Total Knee Arthroplasty without Soft Tissue Balance.

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Název: Surgical Technique of Total Knee Arthroplasty without Soft Tissue Balance.
Autoři: Xu HT; Department of Joint Surgery, Hebei Medical University Third Affiliated Hospital, Shijiazhuang, China., Dong JT; Department of Joint Surgery, Hebei Medical University Third Affiliated Hospital, Shijiazhuang, China., Wang J; Department of Joint Surgery, Hebei Medical University Third Affiliated Hospital, Shijiazhuang, China., Gao SJ; Department of Joint Surgery, Hebei Medical University Third Affiliated Hospital, Shijiazhuang, China.
Zdroj: Orthopaedic surgery [Orthop Surg] 2016 Nov; Vol. 8 (4), pp. 519-522.
Způsob vydávání: Case Reports; Journal Article; Video-Audio Media
Jazyk: English
Informace o časopise: Publisher: Wiley on behalf of the Chinese Orthopedic Association Country of Publication: Australia NLM ID: 101501666 Publication Model: Print Cited Medium: Internet ISSN: 1757-7861 (Electronic) Linking ISSN: 17577853 NLM ISO Abbreviation: Orthop Surg Subsets: MEDLINE
Imprint Name(s): Publication: 2013- : Richmond, Vic. Wiley on behalf of the Chinese Orthopedic Association
Original Publication: Richmond, Vic. : Tianjin : Blackwell Pub. Asia ; Tianjin Hospital, 2009-
Výrazy ze slovníku MeSH: Arthroplasty, Replacement, Knee/*methods , Osteoarthritis, Knee/*surgery, Aged ; Humans ; Male ; Osteophyte/surgery ; Osteotomy/methods
Abstrakt: Total knee arthroplasty (TKA) without soft tissue balance can create a balanced knee to a mechanical axis of near neutral with bone cuts, and remove osteophytes thoroughly. In this study, the authors present detailed steps for performing TKA. The attached video demonstrates the TKA procedure. The patient is a 77-year-old man who had suffered from knee pain for 12 years. Physical examination showed the Apley test to be positive and that the range of motion (ROM) decreased. An X-ray filmed at the positive lateral of the knee joint and the double lower extremity revealed a progression of degenerative osteoarthritis with genu varum. The key point of no soft tissue release is to make a rectangular extensional space by osteotomy. In addition, the osteophytes, especially syndesmophytes, should be removed thoroughly. As a result, the ligaments can achieve ideal length and the flexion contracture can also be remedied. Moreover, in surgeries without soft tissue release, bone mass and normal tissue are retained. Patients are satisfied to the surgery not only with less blood loss, anterior knee pain and DVT, but also faster rehabilitation. In summary, TKA without soft tissue balance is an efficient procedure for patients with knee osteoarthritis which can result in good prognosis.
(© 2016 Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.)
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Contributed Indexing: Keywords: Osteophytes; Rectangular osteotomy; Soft tissue balance; Total knee arthroplasty
Entry Date(s): Date Created: 20161230 Date Completed: 20170317 Latest Revision: 20200225
Update Code: 20250114
PubMed Central ID: PMC6584677
DOI: 10.1111/os.12289
PMID: 28032705
Databáze: MEDLINE
Popis
Abstrakt:Total knee arthroplasty (TKA) without soft tissue balance can create a balanced knee to a mechanical axis of near neutral with bone cuts, and remove osteophytes thoroughly. In this study, the authors present detailed steps for performing TKA. The attached video demonstrates the TKA procedure. The patient is a 77-year-old man who had suffered from knee pain for 12 years. Physical examination showed the Apley test to be positive and that the range of motion (ROM) decreased. An X-ray filmed at the positive lateral of the knee joint and the double lower extremity revealed a progression of degenerative osteoarthritis with genu varum. The key point of no soft tissue release is to make a rectangular extensional space by osteotomy. In addition, the osteophytes, especially syndesmophytes, should be removed thoroughly. As a result, the ligaments can achieve ideal length and the flexion contracture can also be remedied. Moreover, in surgeries without soft tissue release, bone mass and normal tissue are retained. Patients are satisfied to the surgery not only with less blood loss, anterior knee pain and DVT, but also faster rehabilitation. In summary, TKA without soft tissue balance is an efficient procedure for patients with knee osteoarthritis which can result in good prognosis.<br /> (© 2016 Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd.)
ISSN:1757-7861
DOI:10.1111/os.12289