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首页> 外文期刊>Open Journal of Urology >The Association between Surgery Laterality in Orthopedists and the Choices of Prostheses in Total Knee and Hip Replacement
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The Association between Surgery Laterality in Orthopedists and the Choices of Prostheses in Total Knee and Hip Replacement

机译：骨科医生的手术侧向性与全膝关节和髋关节置换术中的假体选择之间的关联

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Background : Most orthopedists are right-handed. However, osteoarthritis occurs with equal frequency over both sides. Does perfect and effective arthroplasty surgery require ambidextrous motor skills? Objectives: In this study, we aimed to investigate the clinical features of arthroplasty for hip and knee joints (THR and TKR) on different sides affected by orthopedist laterality. Patients and Methods : All right-handed orthopedists performed 64 right and 52 left primary THR among 100 patients, and 115 right and 118 left primary TKR among 192 patients. Clinical and surgical features were retrospectively reviewed and analyzed. The body mass index (BMI), inner diameter of acetabular cup liners (ACD), diameter of the femoral head (FHD), diameter of the femoral stem (FSD), and the femoral neck length (FNL) were included in THR-receiving patients. The BMI, femoral component (FC) size, tibial plate (TP) size, and thickness of articular surface inserts (ASI) were included in TKR-receiving patients. Results : No significant differences were observed in ACD, FHD and FSD between patients receiving right and left THR groups (p = 0.16, 0.11, and 0.05, respectively). Similarly, there were no significant differences in FC, TP, and ASI between patients receiving right and left TKR groups (p = 0.06, 0.80, and 0.46, respectively). However, FNL in left THR group was significantly longer than that in right THR group (p = 0.01). Conclusion : This study showed that dexterity or proprioception in handedness had no affect on bone resection and thicknesses of the polyethylene in TKR and acetabular reaming and femoral canal rasping in THR. However, it did lead to differences in femoral neck resection. Right-handed orthopedists significantly tend to perform excessive femoral neck cutting or prefer the larger size of FNL when performing left side THR, while no differences occur when performing TKR.
机译：背景：大多数骨科医生都是右撇子。但是，骨关节炎在两侧均以相同的频率发生。完美而有效的关节置换手术是否需要灵巧的运动技能？ 目的：在本研究中，我们旨在研究受整形外科侧斜度影响的不同侧面的髋和膝关节（THR和TKR）关节置换术的临床特征。 患者和方法：在100位患者中，所有惯用右手的骨科医生进行了64例右和52例左原发性THR，192例患者进行了115例右和118例原发性TKR。对临床和手术特点进行回顾性分析。接受THR的患者包括体重指数（BMI），髋臼杯衬垫内径（ACD），股骨头直径（FHD），股骨干直径（FSD）和股骨颈长度（FNL）。耐心。接受TKR的患者包括BMI，股骨成分（FC）大小，胫骨板（TP）大小和关节表面插入物（ASI）的厚度。 结果：接受左右THR组的患者在ACD，FHD和FSD上没有观察到显着差异（分别为p = 0.16、0.11和0.05）。同样，在接受左右TKR组的患者之间，FC，TP和ASI也无显着差异（分别为p = 0.06、0.80和0.46）。但是，左THR组的FNL明显长于右THR组（ p = 0.01）。结论：这项研究表明，灵巧性或手掌感觉对骨切除和聚乙烯厚度没有影响在THR中使用TKR和髋臼铰孔和股管打磨。但是，这确实导致了股骨颈切除术的差异。右手骨科医生在进行左侧THR手术时明显倾向于进行过多的股骨颈切开术，或者更喜欢较大的FNL尺寸，而在进行TKR术时则没有差异。

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