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学科主题: 临床医学
题名:
A lateral approach defect closure technique with deep fascia flap for valgus knee TKA
作者: Jiang, Jun1; Fernandes, Julio C.2
关键词: Deep fascia flap ; Capsular defect ; Valgus knee ; TKA ; Lateral parapatellar approach
刊名: JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
发表日期: 2015-11-10
DOI: 10.1186/s13018-015-0316-3
卷: 10
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Orthopedics
研究领域[WOS]: Orthopedics
英文摘要:

Background: Routinely, we use a midline skin incision and lateral parapatellar approach of the knee to perform valgus knee TKA (total knee arthroplasty). It is generally very difficult to close the lateral capsular defect after valgus knee TKA, especially for severe valgus and flexion knee deformity.

Methods: We describe a new surgical technique to close the lateral capsular defect with a deep fascia flap. From 2009 to 2012, we used the new technique to close lateral capsular defects for nine valgus TKA in eight patients. The wound healing, infection, range of motion, and postoperative X-ray Laurien view were evaluated.

Results: According to follow-up, we found that this technique can reduce the risk of intra-and postoperative complications (exposure of knee prosthesis, larger subcutaneous hematoma, poor wound healing, and higher risk of infection) and improve clinical outcome of total knee replacement (good range of motion and patellar tracking). There is no need for lateral parapatellar capsule Z-plasty during incision or filling the distal capsular defect with fat pad or composite meniscal-capsular-fat pad.

Conclusion: Closing lateral capsular defect with a deep fascia flap for valgus knee TKA through a lateral parapatellar approach is a new and effective surgical technique.

语种: 英语
WOS记录号: WOS:000364904200002
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/60540
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: 1.Peking Univ, People Hosp, Arthrit Clin & Res Ctr, Beijing 100044, Peoples R China
2.Hop Sacre Coeur Montreal, Orthopaed Dept, Montreal, PQ H4J 1C5, Canada

Recommended Citation:
Jiang, Jun,Fernandes, Julio C.. A lateral approach defect closure technique with deep fascia flap for valgus knee TKA[J]. JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH,2015,10.
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