CAJ | 학술논문

背景:膝关节骨性关节炎和类风湿性关节炎是膝关节最常见的关节炎,在关节炎晚期,出现严重关节畸形和活动障碍,就需要进行全膝关节置换治疗,全膝关节置换术不仅能明显减轻症状,还能矫正畸形和改善关节功能.目的:对膝关节假体的分类、膝关节置换手术技巧及其置换后并发症等方面进行归纳总结.方法:应用计算机检索维普数据库(http://www.cqvip.com/),在标题和摘要中以"膝关节置换,假体,并发症"为检索词进行检索.选择文章内容与膝关节假体临床应用有关的文献,同一领域文献则选择近期发表或发表在权威杂志文章.根据纳入标准选择20篇文献进行综述.结果与结论:不同患者应根据病情、关节限制程度、固定方式和半月板功能来选择不同的人工膝关节.不同膝关节假体的适应证应由膝关节的骨和软组织条件决定、膝关节韧带的质量和状态、关节畸形以及关节软骨破坏的程度决定假体的选择.下肢深静脉血栓和肺栓塞、假体周围感染、假体松动等为关节置换的常见并发症.
배경:슬관절골성관절염화류풍습성관절염시슬관절최상견적관절염,재관절염만기,출현엄중관절기형화활동장애,취수요진행전슬관절치환치료,전슬관절치환술불부능명현감경증상,환능교정기형화개선관절공능.목적:대슬관절가체적분류、슬관절치환수술기교급기치환후병발증등방면진행귀납총결.방법:응용계산궤검색유보수거고(http://www.cqvip.com/),재표제화적요중이"슬관절치환,가체,병발증"위검색사진행검색.선택문장내용여슬관절가체림상응용유관적문헌,동일영역문헌칙선택근기발표혹발표재권위잡지문장.근거납입표준선택20편문헌진행종술.결과여결론:불동환자응근거병정、관절한제정도、고정방식화반월판공능래선택불동적인공슬관절.불동슬관절가체적괄응증응유슬관절적골화연조직조건결정、슬관절인대적질량화상태、관절기형이급관절연골파배적정도결정가체적선택.하지심정맥혈전화폐전새、가체주위감염、가체송동등위관절치환적상견병발증.
BACKGROUND:Knee osteoarthritis and rheumatoid arthritis are common arthritis in the knee.In late stage of arthritis,severe deformation and activity obstacle are found,which require total knee replacement.The total knee replacement not only can significantly relieve symptom,but also correct deformation and improve joint function.OBJECTIVE:To summarize classification of knee joint,techniques of knee replacement surgery and complications following replacement.METHODS:We retrieved Vip Database (http://www.cqvip.com) for titles and abstracts with the key words of "knee replacement,prosthesis,complication".Articles concerning clinical application of knee prosthesis were included.Articles in the same field that published recently or in authorized journals were included.A total of 20 literatures were included for review according to inclusion criteria.RESULTS AND CONCLUSION:Various artificial total knee prostheses were used in different patients in accordance with patients' condition,joint limitation degree,fixation method and meniscus function.Indication of different knee prostheses depends on bone and soft tissue of the knee,and quality and status of knee ligament,joint deformation and destruction degree of articular cartilage are responsible for the choice of prosthesis.Thrombosis of deep veins of the lower limb,pulmonary embolism,infection surrounding the prosthesis and prosthesis loose are common complications in joint replacement.