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A Case of Simultaneous Total Knee Arthroplasty in Congenital Dislocation of the Patella

机译:先天性Dis骨脱位同时全膝关节置换术1例

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The gonarthrosis with congenital dislocation of the patella is rare condition. This paper will report about total knee arthroplasty (TKA) for the valgus knee with bilateral congenital dislocation of the patella. A 52-year-old woman presented to our hospital with progressive pain in bilateral knees. Both knee showed severe valgus deformity and lateral dislocation of the patella. Anteroposterior weight-bearing radiographs showed osteoarthritic changes in the lateral compartment with 7 valgus deformity at the right and 15 at the left. A bilateral TKA with cruciate retained components (NAKASHIMA FINE) was performed. Good tracking of the patella was achieved by using a lateral parapatellar approach and vastus medialis plication. There are no normative guidelines of operative procedure about TKA for osteoarthritis of valgus knee with congenital dislocation of the patella. With some referencing to current literature, strategies to good patella tracking are discussed.
机译:先天性of骨脱位的淋病是罕见的情况。本文将报道双侧先天性骨脱位的外翻膝关节全膝关节置换术(TKA)。一名52岁的妇女因双膝膝盖进行性疼痛而出现在我院。双膝均显示严重外翻畸形和lateral骨外侧脱位。前后负重X线片显示外侧隔室有骨关节炎变化,右侧有7个外翻畸形,左侧有15个外翻畸形。进行了具有交叉保留成分的双边TKA(NASHISHIMA FINE)。通过使用para骨外侧入路和vast内翻折术可以很好地跟踪the骨。对于先天性of骨脱位的外翻膝骨关节炎,尚无关于TKA的手术操作规范指南。在参考当前文献的基础上,讨论了良好good骨跟踪的策略。

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