全膝关节置换术后伸膝装置受损治疗的研究现状

Current research on extensor mechanism impairment secondary to total knee arthroplasty

摘要:

全膝关节置换术后伸膝装置破坏是一种罕见但具有毁灭性的并发症，经股骨截肢被认为是膝关节置换术失败的最后治疗选择，严重影响患者生活质量。目前对于全膝关节置换术后伸膝装置破坏已有多种治疗方法，但并没有文献进行系统的评价。因此本文总结全膝关节置换术后伸膝装置受损治疗的相关文献，从全膝关节置换术后伸膝装置破坏的研究现状、治疗具体方案，以及并发症等方面进行系统综述。以此希望对膝关节伸膝装置受损患者治疗提供参考。

Abstract:

Impairment of the extensor mechanism secondary to total knee arthroplasty is a rare but devastating complication. Transfem- oral amputation is considered to be the last choice for failed knee arthroplasty, which seriously affects the quality of patient's life. At pres- ent, there is a variety of treatment methods, which has not been systematically evaluated. Therefore, this article summarizes the related origi- nal articles on the treatment of extensor mechanism disruption after total knee arthroplasty, involving the current researches on the injury mechanism, concrete treatment plan, and related complications, to provide a reference for clinicians who will deal with knee extensor dis- ruption.