该程序的执行使用的是捷小梁金属全踝假体 (在华沙, 在)。

所描述的所有方法都已得到我们的机构审查委员会和地方道德操守小组的批准, 它们是按照1964《赫尔辛基宣言》及其后的修正案所规定的道德标准进行的。
1. 术前影像学评价
<ol><li>用前后、侧向和 rearfoot 对齐视图 (萨尔茨曼的视图30) 执行踝关节和足部的负重照相。</li>
	<li>执行一个常规的计算机断层扫描 (CT) 的脚踝, 并要求任何其他诊断检查 (如磁共振), 如有必要, 以更好地澄清诊断。</li>
	<li>测量术前负重摄影的下列参数。<ol>
<li>测量胫骨外侧角度 (旅游局, 正常值83.0 ±3.6 °) 的胫骨前角: 测量胫骨解剖轴与胫关节面前后缘远端连接线之间的夹角 (图 1)30,31。</li>
		<li>在前后踝关节上测量胫骨外侧角 (LDTA, 正常值89.0 ±3.0 °): 测量胫骨解剖轴与胫骨内侧和外侧边缘连接线的夹角关节面 (图 2)32,33,34。</li>
		<li>测量胫-距比 (TT 比, 正常值34.8 ± 3.8%): 测量这个参数的侧面踝关节的看法; 它是后纵距长度 (后距边缘之间的长度与解剖截距之间的比值胫骨轴) 和完整的纵向距长度 (图 1)33,35,36。</li>
		<li>测量前后踝关节上的胫距表面角度 (正常值89.0 ±2.6 °): 测量胫骨解剖轴与内侧和外侧距关节面上连接近点的线之间的夹角 (图2)37。</li>
	</ol>
</li>
	<li>使用 CT 评估现有的骨量, 并评估的严重程度, 缺血性坏死的距骨, 如果存在。</li>
</ol>2. 手术技术17
注: 本程序在一般或区域麻醉 (脊髓麻醉) 下进行。
<ol><li>将病人放在仰卧位, 并在腿下放置一个刚性板, 以保持对齐支架。在同侧髋部下放置一个厚垫。不要使用止血带。</li>
	<li>用手术刀做一个纵向切口在它的末端弯曲在它的侧面的踝部对窦跗 (图 3)。解剖腓骨和胫骨前侧骨膜与手术刀和骨膜升降机, 以获得完整的看法, 赘和关节。</li>
	<li>用骨膜升降机释放胫骨和腓骨的后囊。</li>
	<li>用矢状锯片制作斜外踝截骨术: 从腓骨后缘开始, 近6-7 厘米到关节线;末端在腓骨的前侧, 2 厘米近的到关节线。在远端旋转腓踝, 用1.6 毫米的 K 线将其固定在跟骨上。</li>
	<li>取出前赘与矢状锯片和钳, 直到踝关节可以很容易地放置在一个中性的位置。 注意: 内侧排水沟的释放可以在以后的胫骨准备过程中进行。</li>
	<li>测量内侧/侧面距宽度与制造商的度, 选择尽可能大的大小, 同时避免过剩。</li>
	<li>将腿放在程序开始处装配的对齐支架上。</li>
	<li>内部旋转脚和使用的反式跟骨针固定它的脚板。使用4.0 毫米针固定距骨踏板: 把针尽可能远的距颈部, 从而促进进一步纠正距倾斜。</li>
	<li>使用平行于机械胫骨轴的条形检查胫骨对齐和透视。使用透视与以下参数:55 伏, 3 毫安秒。</li>
	<li>在胫骨内侧边界插入两个 5.0 mm 的针, 当一个助手在前矢状距移位时推胫骨前。为了提高结构的刚度, 可将辅助碳纤维棒置于垂直位置。</li>
	<li>通过所选尺寸的切割导轨的 "位置" 孔中的指针定位所需的连接线的水平。检查骨切除量与指针放置在 "距骨" 和 "胫骨 #1" 孔。</li>
	<li>使用 4.0 mm 钻通过预切割指南前钻的距骨和胫骨表面。将骨毛刺装配在气动手机上, 并将对侧距试验的选择尺寸与骨毛刺和切口导轨进行对比, 以评估骨切口的内侧深度。然后, 使用骨毛刺, 使最终骨削减通过 "距骨" 和 "胫骨 #1" 孔的指南。使用 "胫骨 #2" 孔到达内侧一侧的整个胫骨切口, 并释放内侧排水沟的赘</li>
	<li>定位轨道钻具导轨。利用前后透视, 验证它们是否正确放置以避免侧向悬垂。钻轨并定位临时植入物, 然后选择插入尺寸。</li>
	<li>插入使用距和胫骨插入的最终植入物。</li>
	<li>使用透视检查定位, 并使用两个或三3.5 毫米的滞后螺钉固定腓骨;另外, 如果畸形需要踝延长或缩短, 但不留有足够的接触螺钉固定, 则用钢板固定外踝。</li>
	<li>检查腓与外踝骨 hookapplied 的稳定性。轻轻地拉腓骨侧向, 以评估任何残余的胫腓骨不稳定。如果外踝外侧运动存在, 用腓螺钉固定在四皮质上稳定它。测试脚踝的运动范围。</li>
	<li>在常规闭合前用可缝合修复前腓韧带。</li>
</ol>3. 术后护理
<ol><li>把腿放在石膏上, 禁止负重四周。然后允许负重与沃克启动两个星期。</li>
	<li>允许小腿加强, 本体训练和伸展的肱三头肌小腿术后六周。</li>
</ol>4. 临床和放射学随访
<ol><li>影像和临床评估病人在一, 二, 六和十二月后的程序, 然后, 每十二月。后续的协议包括功能和疼痛评估与 SF-12, VAS 疼痛评分, AOFAS 踝和足评分收集在每个时间点。</li>
	<li>进行放射学检查: 要求踝关节和足部的负重照片, 前后侧, 侧面和萨尔茨曼的角度。</li>
	<li>测量每个端点术后 x 射线的以下参数。<ol>
<li>测量前后踝关节上的α角 (α角): 测量胫骨解剖轴和胫骨部分关节面 (图 4)38的侧面形成的角度。</li>
		<li>测量侧踝视图的β角 (β角): 用胫骨解剖轴和胫骨组件的关节面 (图 5)18、38测量前的角度。</li>
		<li>测量侧面踝关节上的伽玛角 (γ角): 测量距组件的前部和后缘线与距颈 (图 5)39的中心线之间的夹角。</li>
		<li>测量胫-距比。</li>
		<li>测量胫-距表面角度。</li>
	</ol>
</li>
</ol>

Dr. Usuelli 收到的赠款和个人费用从捷得。Dr. Ambrosi, Dr. Maccario, Dr. Manzi 和 Dr. Indino 没有任何透露。

我们报告的方法和协议, 我们使用执行焦油横向 transfibular 方法。焦油的绝对禁忌症是距缺血性坏死, 涉及50% 以上的骨储备, 急性或积极感染或无骨髓炎, 糖尿病综合征神经病, 高 anesthesiologic 风险, 神经肌肉障碍, 周围血管疾病, neuroarthropathy (腓骨关节足或足)19,42。相对禁忌症是糖尿病综合征没有神经病, 免疫抑制剂治疗和严重骨质疏松症19</su...

踝关节骨关节炎最常见的病因是创伤后的起源。事实上, 它通常继发于外伤性损伤, 通常影响年轻患者1,2。踝关节骨关节炎影响患者的生活质量与髋关节骨关节炎, 甚至超过膝骨关节炎的程度,3。踝关节融合已被认为是治疗踝关节骨关节炎的金本位, 但一些研究表明, 它赋予了增强应力, 增加了邻近关节骨关节炎的风险4,5,6 ,7;此外, 还存在一些与踝关节融合相关的并发症, 如 equinus 或马蹄畸形和痛苦的非联合8,9。随着外科技术和种植体设计的发展, 全踝关节置换术 (TAR) 已成为一个优秀的替代踝关节融合的外科医生与正确的学习曲线10,11,12。
焦油允许保留踝关节的运动范围和保护从相邻的关节变性13。前面的方法允许一个最佳的可视化的日冕对齐;同时, 此方法倾向于伤口愈合并发症14,15。最近, 一个新的焦油种植体的设计是通过横向 transfibular 的方法, 导致一个理想的可视化中心的旋转和弯曲的切除, 允许不遗余力的骨削减16;此外, 这种方法允许植入垂直于骨小的组成部分, 从而限制了在骨种植界面的水平的剪切力16。这个假肢由一个固定的轴承植入物组成;对齐坐标系引导骨切除, 并有助于解决冠状和矢状畸形的17。使用该焦油植入物的踝关节置换术的早期结果已被发布12,16,17,18。本论文的目的是提出我们的术前, 手术, 和术后的治疗踝关节骨关节炎的侧方方法。
病人的选择从仔细的临床检查和历史开始。病史的炎症或血管疾病, 神经病变或神经系统疾病和复杂的糖尿病可能改变的迹象。不良的脚踝软组织包络应仔细评估, 因为它可能会损害伤口愈合: 皮肤和皮下软组织可能已经被损害或以前的手术。必须考虑使用可能影响愈合的药物。肌肉和肌腱功能, 踝关节和足对齐, 和踝关节运动范围应评估: 详细的检查可以表明是否需要辅助程序在手术时的19。
我们建议经常讨论病人对手术结果的期望和对术后护理依从性的要求。焦油是指踝关节疾病的患者, 由于创伤后, 类风湿, 或原发性关节炎不响应保守的选择, 包括物理治疗, 活性修饰, 非甾体抗炎药物19.此外, 侧踝不稳可能是关节退行性病变的原因, 定义为韧带外伤后踝关节骨关节炎20。此外, 继发性骨关节炎可与系统性疾病有关: 骨距、痛风、血友病、感染后关节炎和遗传性沉着的缺血性坏死21、22、23, 24。
在术前会诊期间, 我们例行记录以下临床和功能评分: 美国骨科足 & 踝关节 (AOFAS) 踝关节和足评分25,26,27, 12 项短表单健康调查27、28和可视模拟比例 (VAS) 疼痛评分29。

<table><tbody><tr><td>Zimmer Total Ankle</td><td>Zimmer, Inc.</td><td>82-0175-162-00</td><td>Total Ankle Replacement</td></tr><tr><td>Calcaneus pin</td><td>Zimmer, Inc.</td><td>00-4501-040-00</td><td>Trans-calcaneal pin</td></tr><tr><td>4.0 mm Pin</td><td>Zimmer, Inc.</td><td>00-4501-040-04</td><td>Talar pin</td></tr><tr><td>5.0 mm Pin</td><td>Zimmer, Inc.</td><td>00-4501-040-05</td><td>Tibial pins</td></tr><tr><td>1.6 mm k-wire</td><td>Zimmer, Inc.</td><td>00-4501-040-01</td><td>1.6 mm Kirschner wire</td></tr><tr><td>Moonray BlueLIne Dual</td><td>SIMAD</td><td></td><td>Mobile C-arm</td></tr><tr><td>Pre-Cut Guide Drill</td><td>Zimmer, Inc.</td><td>00-4501-059-00</td><td>Precutting bone drill</td></tr><tr><td>Bur</td><td>Zimmer, Inc.</td><td>00-4501-076-00</td><td>Bone resection burr</td></tr><tr><td>Micro 100 Drill</td><td>Conmed Corporation</td><td>5053-009</td><td>Pneumatic handpieces</td></tr><tr><td>3.5 mm ULS screws</td><td>Zimmer, Inc.</td><td></td><td>Fibular fixation screws</td></tr><tr><td>Matlab version 2008</td><td>The MathWorks Inc.</td><td></td><td>Statistical software</td></tr></tbody></table>

treatment of ankle osteoarthritis with total ankle replacement through a lateral transfibular approach

全踝关节置换术 (TAR) 是治疗踝关节骨关节炎的有效方法。传统的焦油手术方法是前路。最近, 侧 transfibular 方法的脚踝已经得到了普及, 因为一个新的焦油种植体的设计是通过这种方法, 结果在一个理想的可视化的中心旋转的脚踝和弯曲的切除, 允许减少骨切。本论文的目的是提出我们的术前, 手术, 和术后的治疗踝关节骨关节炎的侧方方法。我们提出了我们的术前临床和放射学协议。此外, 我们用一些技术技巧来描述我们的外科技术。最后, 我们报告我们的随访时间表, 包括临床、功能和放射学数据的收集。这个过程的结果是令人鼓舞的: 通过横向 transfibular 的焦油提供了可靠的疼痛缓解和改善的功能性结局的踝关节骨关节炎。

我们收集的结果, 连续114例 (114 踝) 谁接受了焦油通过横向 transfibular 方法之间的2013年5月至2016年7月。所有执行程序均由高级提交人执行。
使用统计软件分析数据 (请参见材料表)。方差分析和卡帕测试执行40,41。对于 k 分数, 定义了95% 置信区间。在p< 0.05 中, 我们认...

Watch this Scientific Journal Video about Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach at JoVE.com

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

外侧 Transfibular 法治疗踝关节骨性关节炎

我们提出了我们的术前, 手术和术后的方案, 治疗踝关节骨性关节炎的全踝关节置换通过侧 transfibular 方法。

Total ankle replacement (TAR) is a valid option for the treatment of ankle osteoarthritis. The traditional surgical approach for TAR is the anterior ...

treatment-ankle-osteoarthritis-with-total-ankle-replacement-through

Research

JoVE Journal

Behavior

11.7K 次观看.  Galeazzi Orthopedic Institute for Research and Care. 我们提出了我们的术前, 手术和术后的方案, 治疗踝关节骨性关节炎的全踝关节置换通过侧 transfibular 方法。

视频: Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Reverse Total Shoulder Arthroplasty

Reverse total shoulder arthroplasty was initially approved for use in rotator cuff arthropathy and well as chronic pseudoparalysis without arthritis in patients who were not appropriate for tendon transfer reconstructions. Traditional surgical options for these patients were limited and functional results were sub-optimal and at times catastrophic. The use of reverse shoulder arthroplasty has been found to effectively restore these patients function and relieve symptoms associated with their disease. The procedure can be done through two approaches, the deltopectoral or the superolateral. Complication rates associated with the use of the prosthesis have ranged from 8-60% with more recent reports trending lower as experienced is gained. Salvage options for a failed reverse shoulder prosthesis are limited and often have significant associated disability. Indications for the use of this prosthesis continue to be evaluated including its use for revision arthroplasty, proximal humeral fracture and tumor. Careful patient selection is essential because of the significant risks associated with the procedure.

Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder.

反向共肩关节置换术

Reverse total shoulder arthroplasty was initially approved for use in rotator cuff arthropathy and well as chronic pseudoparalysis without arthritis in ...

科研

医学

Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus

In recent years, regenerative techniques have been increasingly studied and used to treat osteochondral lesions of the talus. In particular, several studies have focused their attention on mesenchymal stem cells derived from adipose tissue. Adipose-derived stem cells (ADSCs) exhibit morphological characteristics and properties similar to other mesenchymal cells, and are able to differentiate into several cellular lines. Moreover, these cells are also widely available in the subcutaneous tissue, representing 10 - 30% of the normal body weight, with a concentration of 5,000 cells per gram of tissue.
In the presented technique, the first step involves harvesting ADSCs from the abdomen and a process of microfracture and purification; next, the surgical procedure is performed entirely arthroscopically, with less soft tissue dissection, better joint visualization, and a faster recovery compared with standard open procedures. Arthroscopy is characterized by a first phase in which the lesion is identified, isolated, and prepared with microperforations; the second step, performed dry, involves injection of adipose tissue at the level of the lesion.
Between January 2016 and September 2016, four patients underwent arthroscopic treatment of osteochondral lesion of the talus with microfractured and purified adipose tissue. All patients reported clinical improvement six months after surgery with no reported complications. Functional scores at the latest follow-up are encouraging and confirm that the technique provides reliable pain relief and improvements in patients with osteochondral lesion of the talus.

The aim of this study is to report a protocol for the arthroscopic treatment of osteochondral lesions of the talus using microfractured and purified adipose-derived stem cells.

自体 Microfractured 与纯化脂肪组织在关节镜下治疗距骨软骨病变

In recent years, regenerative techniques have been increasingly studied and used to treat osteochondral lesions of the talus. In particular, several ...

Transtubular Endoscopic Posterolateral Decompression for L5-S1 Lumbar Lateral Disc Herniation

We report a novel technique for C-arm free transtubular L5 nerve decompression under CT-based navigation to reduce the radiation hazard. This procedure is performed under general anesthesia and neuromonitoring. The patient is placed in a prone position on an operating carbon table. A navigation reference frame is placed percutaneously into the contralateral sacroiliac joint or spinous process. Then, CT scan images are obtained. After instrument registration, the L5-S1 foraminal level is confirmed with a navigated probe, and the entry point is marked. Using an approximately 2 cm skin incision, the subcutaneous tissue and muscles are dissected. The navigated first dilator is aimed at the L5-S1 Kambin&#39;s triangle, and sequential dilation is performed. The 18 mm tube is used and fixed to the frame. The bone around the Kambin&#39;s triangle is removed with a navigated burr. For lateral disc herniation, the L5 nerve root is identified and retracted, and the disc fragment is removed. The navigation-guided tubular endoscopic decompression is an effective procedure. There is no radiation hazard to the surgeon or the operating room staff.

Presented here is a novel technique of C-arm free transtubular posterolateral decompression for lumbar foraminal stenosis and lateral disc herniation under O-arm navigation.

经管内镜后外侧减压治疗L5-S1腰椎外侧椎间盘突出症

We report a novel technique for C-arm free transtubular L5 nerve decompression under CT-based navigation to reduce the radiation hazard. This procedure is ...

神经科学

Intravascular Lithotripsy-Assisted Transfemoral Transcatheter Aortic Valve Implantation

During the last decade, transcatheter aortic valve implantation (TAVI) has evolved as a well-established therapy for aging patients suffering from symptomatic severe aortic valve stenosis. This is also reflected in the recently updated international guidelines on managing patients with valvular heart disease. A transfemoral&#160;(TF) TAVI&#160;approach has proven superior to alternative access strategies. With the introduction of intravascular lithotripsy (IVL), patients with calcified iliofemoral vascular disease and borderline intraluminal diameters have also become candidates for percutaneous TF-TAVI. Moreover, IVL reduces the risk of major vascular complications by modifying the superficial and deep vascular calcium, thereby changing the vessel compliance and controlling luminal expansion. In this way, IVL has shown to safely facilitate TF delivery of TAVI devices in patients with calcified peripheral artery disease. The present article aims to provide a detailed step-by-step description on how to perform IVL-assisted TF-TAVI safely and efficiently. Furthermore, a literature review on the outcomes obtained with this technology is included, along with a concise discussion on this unique TAVI approach.

<meta charset="utf8"></head><body>血管内碎石术辅助经股动脉经导管主动脉瓣植入术

Transcatheter aortic valve implantation (TAVI) has been shown to generate the best clinical outcomes when performed by the percutaneous transfemoral approach. Intravascular lithotripsy (IVL) can facilitate a transfemoral process in patients with calcified iliofemoral vascular disease and borderline intraluminal diameters. The present protocol describes IVL-assisted transfemoral TAVI.

血管内碎石术辅助经股动脉经导管主动脉瓣植入术

During the last decade, transcatheter aortic valve implantation (TAVI) has evolved as a well-established therapy for aging patients suffering from ...

C-arm-Free Simultaneous OLIF51 and Percutaneous Pedicle Screw Fixation in a Single Lateral Position

Oblique lumbar interbody fusion (OLIF) is an established technique for the indirect decompression of lumbar canal stenosis. However, OLIF at the L5-S1 level (OLIF51) is technically difficult because of the anatomical structures. We present a novel simultaneous technique of OLIF51 with percutaneous pedicle screw fixation without fluoroscopy. The patient is placed in a right lateral decubitus position. A percutaneous reference pin is inserted into the right sacroiliac joint. An O-arm scan is performed, and 3D reconstructed images are transmitted to the spinal navigation system. A 4 cm oblique skin incision is made under navigation guidance along the pelvis. The internal/external and transverse abdominal muscles are divided along the muscle fibers, protecting the iliohypogastric and ilioinguinal nerves. Using a retroperitoneal approach, the left common iliac vessels are identified. Special muscle retractors with illumination are used to expose the L5-S1 intervertebral disc. After disc preparation with navigated instruments, the disc space is distracted with navigated trials. Autogenous bone and demineralized bone material are then inserted into the cage hole. The OLIF51 cage is inserted into the disc space with the help of a mallet. Simultaneously, percutaneous pedicle screws are inserted by another surgeon without changing the lateral decubitus position of the patient.
In conclusion, C-arm-free OLIF51 and simultaneous percutaneous pedicle screw fixation are performed in a lateral position under navigation guidance. This novel technique reduces surgical time and radiation hazards.

C-arm-free oblique lumbar interbody fusion at the L5-S1 level (OLIF51) and simultaneous pedicle screw fixation are performed in a lateral position under navigation guidance. This technique does not expose the surgeon or operating staff to radiation hazards.

无 C 型臂同时 OLIF51 和经皮椎弓根螺钉固定在单个侧位

Oblique lumbar interbody fusion (OLIF) is an established technique for the indirect decompression of lumbar canal stenosis. However, OLIF at the L5-S1 ...

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The technology of 3D printing and visualization of anatomical structures is rapidly growing in various fields of medicine. A custom-made implant and mixed reality were used to perform complex revision hip arthroplasty in January 2019. The use of mixed reality allowed for a very good visualization of the structures and resulted in precise implant fixation. According to the authors' knowledge, this is the first described case report of the combined use of these two innovations. The diagnosis preceding the qualification for the procedure was the loosening of the left hip's acetabular component. Mixed reality headset and holograms prepared by engineers were used during the surgery. The operation was successful, and it was followed by early verticalization and patient rehabilitation. The team sees opportunities for technology development in joint arthroplasty, trauma, and orthopedic oncology.

A complex revision hip arthroplasty was performed using a custom-made implant and mixed reality technology. According to the authors&#39; knowledge, this is the first report of such procedure described in the literature.

混合现实在定制翻修髋关节置换术中的应用:第一份病例报告

The technology of 3D printing and visualization of anatomical structures is rapidly growing in various fields of medicine. A custom-made implant and mixed ...

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Surgeons considering transitioning to an anterior-based approach for THA are concerned about the learning curve and the reported marginal clinical benefit. Accordingly, the first cohort of THAs, which were implanted by a single surgeon using the anterior-based muscle-sparing approach (ABMS), was analyzed. The goal of the study was to test 1) whether patient-reported outcomes improved and 2) whether the complication rate decreased with the number of THAs performed. A retrospective cohort study on the first 30 primary THA cases (27 patients) of one surgeon (January 2021-April 2021) using the ABMS approach was conducted. These 30 THAs were compared to 30 primary THA cases (30 patients) done immediately prior to the transition by the same surgeon (September 2020-December 2020) using the posterior approach (PA). The Oxford Hip Score (OHS), Hip Disability and Osteoarthritis Outcome Score (HOOS Junior), and Forgotten Joint Score (FJS) obtained 6 weeks and 6 months after surgery were compared. In addition, three consecutive groups based on equal numbers of THAs were compared for the incidence of complications and surgery time. At 6 weeks after THA, the OHS was 6 points higher after the ABMS approach (p = 0.0408), and the OHS was comparable at 6 months. The HOOS Junior and FJS were similar at 6 weeks and 6 months after surgery.&#160;In the first 10 THAs using the ABMS approach, one patient had a greater trochanter fracture, and one patient had an intraoperative proximal femur fracture. No further immediate interoperative or postoperative complications occurred. Surgery time significantly reduced with the number of THAs performed. Transitioning from the PA to the ABMS approach is associated with a learning curve, which is limited to the first 20 cases. The effect of improved clinical outcomes is apparent within the early postoperative period. After 6 months, THA patients do well regardless of the approach.

The anterior-based muscle-sparing approach for total hip arthroplasty (THA) is associated with a learning curve. However, the improved clinical outcome in the early post-operative phase makes the consideration to transition worthwhile.

过渡到基于前部的肌肉保留方法可改善术后早期功能，但与学习曲线相关

Surgeons considering transitioning to an anterior-based approach for THA are concerned about the learning curve and the reported marginal clinical ...

An Effective Surgical Strategy for Anteromedial Osteoarthritis of the Knee with Simultaneous Popliteal Cysts Drainage

Unicompartmental knee arthroplasty (UKA) is an established treatment option for anteromedial osteoarthritis, and popliteal cysts are a common finding in the knee among patients with chronic osteoarthritis pain. The two are so closely related that popliteal cysts are commonly discovered during the unicompartmental knee arthroplasty preoperative examination. However, only a few reports exist on the management and outcome of popliteal cysts in the patients receiving UKA for knee osteoarthritis (OA) and popliteal cysts. As such, it is crucial to evaluate different treatment strategies and their management of popliteal cysts. In this paper, we evaluate a surgical strategy for patients with knee anteromedial osteoarthritis and symptomatic popliteal cysts. These patients were treated with UKA and internal drainage of the popliteal cyst. The results shown here, spanning 1-year post-operation follow-up, demonstrated that UKA and internal drainage is an effective surgical protocol for treating anteromedial osteoarthritis with symptomatic popliteal cysts.

<meta charset="utf8"></head><body>膝关节前内侧骨关节炎同时进行腘窝囊肿引流的有效手术策略

Popliteal cysts are frequently found during the pre-operative examination of patients with osteoarthritis being prepared for the unicompartmental knee arthroplasty. These symptomatic cysts usually require treatment. To do this, a unicompartmental knee arthroplasty was performed with internal drainage of the popliteal cyst under the same anesthetic.

膝关节前内侧骨关节炎同时进行腘窝囊肿引流的有效手术策略

Unicompartmental knee arthroplasty (UKA) is an established treatment option for anteromedial osteoarthritis, and popliteal cysts are a common finding in ...

外侧 Transfibular 法治疗踝关节骨性关节炎

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反向共肩关节置换术

自体 Microfractured 与纯化脂肪组织在关节镜下治疗距骨软骨病变

经管内镜后外侧减压治疗L5-S1腰椎外侧椎间盘突出症

血管内碎石术辅助经股动脉经导管主动脉瓣植入术

血管内碎石术辅助经股动脉经导管主动脉瓣植入术

无 C 型臂同时 OLIF51 和经皮椎弓根螺钉固定在单个侧位

混合现实在定制翻修髋关节置换术中的应用:第一份病例报告

过渡到基于前部的肌肉保留方法可改善术后早期功能，但与学习曲线相关

膝关节前内侧骨关节炎同时进行腘窝囊肿引流的有效手术策略

膝关节前内侧骨关节炎同时进行腘窝囊肿引流的有效手术策略