全膝关节置换治疗夏科氏关节病的研究进展
程功
杨述华
刘先哲
1.华中科技大学同济医学院附属协和医院骨科, 武汉,4300222.华中科技大学同济医学院附属协和医院骨科, 武汉,4300223.华中科技大学同济医学院附属协和医院骨科, 武汉,430022
摘要：Charcot arthropathy is a rare clinical disease, characterized by the damage of sensory, motor, and autonomic nerves, severe articular injuries, joint instability and osteoporosis. With the wide use of antibiotics, syphilis, the traditional main cause of Charcot joint disease has gradually decreased, whereas the cases of Charcot arthropathy caused by diabetes have gradually increased. Common treatments of Charcot joints include conservative treatment and total knee arthrodesis, but the effect is not satisfactory. Total knee arthroplasty was once considered as the strict contraindication to Charcot arthropathy and the clinical results vary in different researches. The purpose of this paper is to summarize the surgical indications and contraindications, perioperative management, prosthesis selection of total knee arthroplasty, key points of surgical techniques, therapeutic effects observation, advantages of total knee arthroplasty over conservative treatment and total knee arthrodesis, which illustrates the total knee arthroplasty is the indication for Charcot disease. Besides, this article aims at offering references and clinical guidelines for surgeons, when they encounter this disease.
关键词：关节病神经源性关节成形术置换膝膝关节综述
分类号：R687.4(骨科学（运动系疾病、矫形外科学）)R684(骨科学（运动系疾病、矫形外科学）)
论文发表日期：2017-01-01
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：7( 907-913 )
英文信息