Ten steps to an easier revision total knee arthroplasty

被引:8
作者
Laskin, RS [1 ]
机构
[1] Hosp Special Surg, Knee Serv, New York, NY 10021 USA
关键词
arthroplasty; knee; revision;
D O I
10.1054/arth.2002.32454
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Revision total knee arthroplasty can be facilitated by proper preoperative planning, using an extensile incision, lysing of adhesions on the lateral gutter, exposing the medial and lateral aspects of the proximal tibia, and stabilizing the patellar tendon. If the patella cannot be everted safely, the surgeon should be prepared to do a rectus snip or tibial tubercle osteotomy. The components should be extracted axially after separation of the interfaces with a small sagittal saw or small osteotomes. The intramedullary canals of the femur and tibia should be used as references for the cutting blocks.
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页码:78 / 82
页数:5
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