Large thigh girth is a relative contraindication for the subvastus approach in primary total knee arthroplasty

被引：15

作者：

In, Yong ^{[1
]}

Kim, Jun-Man ^{[1
]}

Choi, Nam-Yong ^{[1
]}

Kim, Seok-Jung ^{[1
]}

机构：

[1] Catholic Univ Korea, Sch Med, Dept Orthoped Surg, Seoul, South Korea

来源：

JOURNAL OF ARTHROPLASTY | 2007年 / 22卷 / 04期

关键词：

knee; subvastus approach; thigh girth; patellar eversion; total knee arthroplasty;

D O I：

10.1016/j.arth.2006.06.007

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：

The purpose of this study vas to determine the thigh girth cutoff limit for the subvastus approach ill primary total knee arthroplasty. ne hundred forty-three consecutive total knee arthroplasties were done using the subvastus approach by one surgeon. The larger the thigh girth, the higher the risk for inability to evert the patella. We found that patients with a thigh girth greater than 55 cm had 27.212 times higher risk for inability to evert the patella during the subvastus approach as compared with patients with a small thigh girth (ie, < 45 cm; odds ratio = 27.212: 95% confidence interval = 4.394-168.530). If we could not evert the patella in patients vith a large thigh girth, although we could slide the patella, the extensor mechanism and excessive soft tissues were obstacles to the procedure. We recommend that another approach for patients with a thigh girth greater than 55 cm be used.

引用

页码：569 / 573

页数：5

共 15 条

[1]

Aglietti P, 1989, J Arthroplasty, V4, P1, DOI 10.1016/S0883-5403(89)80046-4

[2] Patellar tilt and subluxation following subvastus and parapatellar approach in total knee arthroplasty - Implication for surgical technique [J].