지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 153 - 160 (8page)
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초록· 키워드
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Purpose: Restoring the native patellar thickness after patellar resurfacing provides optimal function of the knee after arthroplasty and minimises complications related to the patellofemoral articulation. The aim of this study was to assess the usefulness of a thin patellar button (6.2 mm) in patients with a patella thickness of less than 20 mm during total knee arthroplasty. Materials and Methods: This is a retrospective case control study. A total of 54 female patients with an intraoperative patellar thickness of <20 mm, resurfaced with a patellar button of 6.2 mm in thickness were identified (group 1). They were matched with 54 patients with a patellar thickness of 20–23 mm, resurfaced with a patellar button of 8 mm (group 2), based on age, sex, body mass index, and deformity. A clinical and radiological evaluation was done at a minimum 2-year follow-up. Results: The preoperative mean patellar thickness was 18.94±1.07 mm and was restored to 19.06±0.79 mm in group 1, as compared to 21.63±0.99 mm and 21.72±0.99 mm in group 2. The mean postoperative range of motion was 122.22°±9.25° in group 1 and 123.52°±8.72° in group 2 (p=0.13). No patellar bone or button related complications were observed in any patient in either group.Conclusions: The 6.2 mm thin patella is useful to restore the native thickness in patients with a patellar thickness of less than 20 mm without risk of button fracture, loosening or overstuffing.
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참고문헌 (30)
참고문헌 신청
Merican AM / 2014 / Patellar thickness and lateral retinacular release affects patellofemoral kinematics in total knee arthroplasty / Knee Surg Sports Traumatol Arthrosc 22:526~533
Reuben JD / 1991 / Effect of patella thickness on patella strain following total knee arthroplasty / J Arthroplasty 6:251~258
Lee QJ / 2014 / Effect of patellar thickness on early results of total knee replacement with patellar resurfacing / Knee Surg Sports Traumatol Arthrosc 22:3093~3099
Lie DT / 2005 / Patellar resection during total knee arthroplasty: effect on bone strain and fracture risk / Knee Surg Sports Traumatol Arthrosc 13:203~208
Tanikawa H / 2017 / Influence of total knee arthroplasty on patellar kinematics and patellofemoral pressure / J Arthroplasty 32:280~285
Reuben JD / 1991 / Effect of patella thickness on patella strain following total knee arthroplasty / J Arthroplasty 6:251~258
Lee QJ / 2014 / Effect of patellar thickness on early results of total knee replacement with patellar resurfacing / Knee Surg Sports Traumatol Arthrosc 22:3093~3099
Lie DT / 2005 / Patellar resection during total knee arthroplasty: effect on bone strain and fracture risk / Knee Surg Sports Traumatol Arthrosc 13:203~208
Tanikawa H / 2017 / Influence of total knee arthroplasty on patellar kinematics and patellofemoral pressure / J Arthroplasty 32:280~285
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