【摘要】：目的利用計算機輔助技術(shù)分析膝關(guān)節(jié)單髁置換術(shù)(unicompartmental knee arthroplasty,UKA)失敗的原因,為減少術(shù)后翻修、指導手術(shù)及康復(fù)方案的改進提供參考依據(jù)。方法廣泛查閱近年國內(nèi)外有關(guān)利用計算機輔助技術(shù)分析UKA術(shù)后翻修原因的文獻,并總結(jié)分析。結(jié)果經(jīng)計算機輔助技術(shù)分析UKA翻修的原因主要包括:內(nèi)側(cè)脛骨平臺骨折、剩余間室進行性骨關(guān)節(jié)炎、活動型襯墊假體脫位、假體松動、聚乙烯襯墊磨損、不明原因的持續(xù)性疼痛。結(jié)論計算機輔助技術(shù)通過模擬手術(shù)操作及術(shù)后膝關(guān)節(jié)的活動,可用于分析UKA翻修原因以及指導手術(shù)和康復(fù)方案的制定。
[Abstract]:Objective to analyze the causes of failure of single condyle replacement of knee joint (unicompartmental knee arthroplasty,UKA) by computer aided technique, and to provide reference for reducing postoperative revision and guiding the improvement of operation and rehabilitation plan. Methods in recent years, the literature on the use of computer-aided technology to analyze the causes of revision after UKA was widely reviewed and analyzed. Results the causes of UKA revision were analyzed by computer aided technique, including medial tibia plateau fracture, residual chamber progressive osteoarthritis, dislocation of movable pad, loosening of prosthesis, wear of polyethylene gasket and persistent pain of unknown cause, which included fracture of medial tibia plateau, progressive osteoarthritis of residual chamber, dislocation of movable pad, loosening of prosthesis, wear of polyethylene gasket and persistent pain of unknown cause. Conclusion computer aided technique can be used to analyze the causes of UKA revision and guide the formulation of operation and rehabilitation program by simulating the operation and the movement of knee joint after operation.
【作者單位】： 昆明醫(yī)科大學第一附屬醫(yī)院運動醫(yī)學科;
【基金】：云南省創(chuàng)新團隊項目(2014HC018) 云南省國際合作項目(2013IA004) 云南省醫(yī)學學科帶頭人培養(yǎng)基金(D-201207)~~
【分類號】：R687.4;TP391.7

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