人工关节置换要重视患者的术后感受与功能康复
朱庆生
曹晓瑞
闫昭
王刚
1.第四军医大学西京医院骨科, 西安,7100322.第四军医大学西京医院骨科, 西安,7100323.第四军医大学西京医院骨科, 西安,7100324.第四军医大学西京医院骨科, 西安,710032
摘要：Minimally invasive approach for primary total hip arthroplasty ( THA ), including direct anterior approach ( DAA ) and Super-Path approach, has become popular with orthopaedic community. Theoretically there is no damage to the muscles through anterior intermuscular space approach. The main advantages are minimally invasive procedures, avoidance of the risk of hip dislocation via the posterior approach and acceleration of the course of convalescence. The precision of techniques in primary total knee arthroplasty ( TKA ) has been focused on by scholars. In order to improve the accuracy of operation and clinical outcomes, new navigation technology and computer-assisted TKA have been implemented. Bone stock reconstruction in THA and TKA revision surgery is one of the biggest challenges for surgeons. Femoral and acetabular prostheses are usually uncemented in THA revision surgery. Currently, with the development of materialogy, the problem of serious bone loss in THA and TKA revision surgery has been solved with the appearance of acetabular prostheses made of porous materials ( also called coating technology of the 2nd generation ) and metal blocks. As for the reconstruction of ligament imbalance, semiconstrained prostheses or fully constrained prostheses can be chosen. If fully constrained prostheses are used, the prostheses designed on the rotation platform are preferred. To acquire satisfactory clinical outcomes in hip and knee arthroplasty, the surgeons should pay attention to not only surgical results, but also feelings of postoperative patients and functional rehabilitation.
关键词：关节成形术置换髋髋关节膝人工膝关节人工关节
分类号：R687.4(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2016-01-01
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：4( 881-884 )
英文信息