臨床整形外科59巻6号

2024年06月発行

特集 TKAにおける最新Topics

手術手技が術後Kinematicsに与える影響

著者： 渡邊敏文¹

所属機関： ¹獨協医科大学埼玉医療センター整形外科

ページ範囲：P.781 - P.787

TKAの手術手技は術後kinematicsに大きく影響するが，詳細については不明な部分も多い．本稿ではアライメントや軟部組織バランスが術後kinematicsに与える影響を概説する．アライメントについては，キネマティックアライメント(KA)とメカニカルアライメント(MA)の比較，冠状面・矢状面・回旋アライメントについて考察する．軟部組織バランスについては，内外側バランス，伸展屈曲ギャップ，回旋軟部バランスについて概説する．また，その他の手術手技として，PCLの処理，モバイルベアリング，外側関節面置換が術後kinematicsに与える影響について，自験例を紹介する．

参考文献

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