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頁籤選單縮合
題名 | Surgical Approach in Total Knee Arthroplasty--Lateral Parapatellar Approach Betters Patellar Tracking= |
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作者 | 蔡清霖; Tsai, C. L.; Huang,C. H.; Tsai,K. J.; |
期刊 | 中華民國骨科醫學會雜誌 |
出版日期 | 19970900 |
卷期 | 14:3 1997.09[民86.09] |
頁次 | 頁195-204 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 全人工膝關節置換; Total knee arthroplasty; Surgical approach; Lateral parapatellar approach; |
英文摘要 | Total knee arthroplasty (TKA) has been found to be safe and effective in well over 90% of patients who undergo the procedure. Medial parapatellar approach (MPA) has been the standard approach, and correct patellar tracking is critical to the success of the procedure. Although there has been great concern regarding disruption of patellar blood supply, a lateral release was necessary around 51% of TKAs. We have used lateral parapatellar approach (LPA) exclusively in all total knee arthroplasties, including genu valgum, genu varum and revision TKA, to improve both patellar vascularity and patellar tracing since October 1996. The LPA has virtually eliminated patellar maltracking and wound healing problems which are often associated with MPA. The possiblity of excellent closure of arthrotomy wound in PLA in most cases implicated that lateral release in some TKAs with MPA could be unnecessary. |
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