Instability After Total Knee Arthroplasty

被引:49
作者
Cottino, Umberto [1 ]
Sculco, Peter K. [1 ]
Sierra, Rafael J. [1 ]
Abdel, Matthew P. [1 ]
机构
[1] Mayo Clin, Dept Orthoped Surg, 200 First St Southwest, Rochester, MN 55905 USA
关键词
Instability; Total knee arthroplasty; Failure; Revision total knee arthroplasty; TIBIOFEMORAL INSTABILITY; FLEXION INSTABILITY; REPLACEMENT; RECURVATUM; COMPONENTS; DIAGNOSIS; DEFORMITY; FAIL; MRI;
D O I
10.1016/j.ocl.2015.09.007
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
Instability is one of the most common causes of failure after total knee arthroplasty. Although there are several contributing causes, surgical error and poor implant design selection contribute. For this reason, an accurate diagnosis is fundamental and is largely based on a thorough history and physical examination. In general, tibiofemoral instability can be classified into 3 different patterns: flexion instability, genu recurvatum, and extension instability. In this article, these 3 patterns are reviewed in greater depth.
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页码:311 / +
页数:7
相关论文
共 35 条
[1]   Stepwise surgical correction of instability in flexion after total knee replacement [J].
Abdel, M. P. ;
Pulido, L. ;
Severson, E. P. ;
Hanssen, A. D. .
BONE & JOINT JOURNAL, 2014, 96B (12) :1644-1648
[2]   The unstable knee [J].
Abdel, M. P. ;
Haas, S. B. .
BONE & JOINT JOURNAL, 2014, 96B :112-114
[3]   Diagnosis of Periprosthetic Joint Infection: The Threshold for Serological Markers [J].
Alijanipour, Pouya ;
Bakhshi, Hooman ;
Parvizi, Javad .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2013, 471 (10) :3186-3195
[4]  
Brassard MF, 2001, SURG KNEE, V3, P1814
[5]   The Risk of Direct Peroneal Nerve Injury Using the Ranawat "Inside-Out" Lateral Release Technique in Valgus Total Knee Arthroplasty [J].
Bruzzone, Matteo ;
Ranawat, Amar ;
Castoldi, Filippo ;
Dettoni, Federico ;
Rossi, Paolo ;
Rossi, Roberto .
JOURNAL OF ARTHROPLASTY, 2010, 25 (01) :161-165
[6]   Why knees fail - Lessons learned [J].
Callaghan, JJ ;
O'Rourke, MR ;
Saleh, KJ .
JOURNAL OF ARTHROPLASTY, 2004, 19 (04) :31-34
[7]   The Natural Progression of Synovial Fluid White Blood-Cell Counts and the Percentage of Polymorphonuclear Cells After Primary Total Knee Arthroplasty A Multicenter Study [J].
Christensen, Christian P. ;
Bedair, Hany ;
Della Valle, Craig J. ;
Parvizi, Javad ;
Schurko, Brian ;
Jacobs, Cale A. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2013, 95A (23) :2081-2087
[8]   Clinical results in valgus total knee arthroplasty with the "pie crust" technique of lateral soft tissue releases [J].
Clarke, HD ;
Fuchs, R ;
Scuderi, GR ;
Scott, WN ;
Insall, JN .
JOURNAL OF ARTHROPLASTY, 2005, 20 (08) :1010-1014
[9]  
Easley ME, 2000, CLIN ORTHOP RELAT R, P58
[10]  
FEHRING TK, 1994, CLIN ORTHOP RELAT R, P157