股骨幹在冠狀面的彎曲變形對人工膝關節置換的影響

10.6666/ClinMed.2017.79.3.031

黃贊文；黃國欽；李炫昇

人工膝關節 ； 下肢的機械軸 ； 股骨冠狀面彎曲

臨床醫學月刊

79卷3期（2017 / 03 / 31）

167 - 175

繁體中文

股骨幹在冠狀面的彎曲變形在亞洲地區相當常見，包括臺灣、日本、韓國、香港、中國、新加坡及印度等地也都有相關的文獻發表。由於股骨幹的冠狀面彎曲變形在病人的外觀上並無法察覺，因此對外傷骨折、骨質疏鬆症及膝關節置換等的治療影響很大。由於常用的股骨骨髓內切骨裝置會受到股骨冠狀面彎曲變形的影響而導致不理想的人工膝關節零件擺放位置及下肢的機械軸，進而減少人工膝關節的使用年限，近年來許多文獻探討此類病人在接受人工膝關節置換手術時的策略。本文將針對股骨冠狀面彎曲變形的病患在置換人工膝關節的手術方式及影響進行文獻分析及探討。

1. Balach, T,Baldwin, PC,Intravia, J(2015).Atypical Femur Fractures Associated With Diphosphonate Use.J Am Acad Orthop Surg,23,550-557.
2. Berend, ME,Davis, PJ,Ritter, MA(2010)."Thicker" polyethylene bearings are associated with higher failure rates in primary total knee arthroplasty.J Arthroplasty,25,17-20.
3. Elkus, M,Ranawat, CS,Rasquinha, VJ(2004).Total knee arthroplasty for severe valgus deformity. Five to fourteen-year follow-up.J Bone Joint Surg Am,86,2671-2676.
4. Fan, CH(2014).One-stage femoral osteotomy and computer-assisted navigation total knee arthroplasty for osteoarthritis in a patient with femoral subtrochanteric fracture malunion.Case Rep Orthop,2014,645927.
5. Hadjicostas, PT,Soucacos, PN,Thielemann, FW(2008).Computer-assisted osteotomy of the lateral femoral condyle with non-constrained total knee replacement in severe valgus knees.J Bone Joint Surg Br,90,1441-1445.
6. Huang, TW,Chuang, PY,Lee, CY(2016).Total knee arthroplasty in patients with Ranawat type-II valgus arthritic knee with a marked coronal femoral bowing deformity: comparison between computer-assisted surgery and intra-articular resection.J Orthop Surg Res,11,88.
7. Huang, TW,Hsu, WH,Peng, KT(2011).Total knee arthroplasty with use of computer-assisted navigation compared with conventional guiding systems in the same patient: radiographic results in Asian patients.J Bone Joint Surg Am,93,1197-1202.
8. Huang, TW,Hsu, WH,Peng, KT(2011).Total knee replacement in patients with significant femoral bowing in the coronal plane: a comparison of conventional and computerassisted surgery in an Asian population.J Bone Joint Surg,93,345-350.
9. Huang, TW,Kuo, LT,Peng, KT(2014).Computed Tomography Evaluation in Total Knee Arthroplasty: Computer-Assisted Navigation Versus Conventional Instrumentation in Patients With Advanced Valgus Arthritic Knees.The Journal of Arthroplasty,29,2363-2368.
10. Huang, TW,Kuo, LT,Peng, KT(2014).Computed tomography evaluation in total knee arthroplasty: computer-assisted navigation versus conventional instrumentation in patients with advanced valgus arthritic knees.J Arthroplasty,29,2363-2368.
11. Huang, TW,Lee, CY,Lin, SJ(2015).The Influence of Alignment on Midterm Outcome after Total Knee Arthroplasty in Patients With Marked Coronal Femoral Bowing.J Arthroplasty,30,1531-1536.
12. Huang, TW,Peng, KT,Huang, KC(2014).Differences in component and limb alignment between computer-assisted and conventional surgery total knee arthroplasty.Knee Surg Sports Traumatol Arthros,22,2954-2961.
13. Konig, C,Sharenkov, A,Matziolis, G(2010).Joint line elevation in revision TKA leads to increased patellofemoral contact forces.J Orthop Res,28,1-5.
14. Lasam, MP,Lee, KJ,Chang, CB(2013).Femoral lateral bowing and varus condylar orientation are prevalent and affect axial alignment of TKA in Koreans.Clin Orthop Relat Res,471,1472-1483.
15. Lee, CY,Huang, TW,Peng, KT(2015).Variability of Distal Femoral Valgus Resection Angle in Patients with End-stage Osteoarthritis and Genu Varum Deformity: Radiographic Study in an Ethnic Asian Population.Biomed J,38,350-355.
16. Lee, CY,Lin, SJ,Kuo, LT(2014).The benefits of computer-assisted total knee arthroplasty on coronal alignment with marked femoral bowing in Asian patients.J Orthop Surg Res,9,122.
17. Lonner, JH,Siliski, JM,Lotke, PA(2000).Simultaneous femoral osteotomy and total knee arthroplasty for treatment of osteoarthritis associated with severe extra-articular deformity.J Bone Joint Surg Am,82,342-348.
18. Mullaji, AB,Marawar, SV,Mittal, V(2009).A comparison of coronal plane axial femoral relationships in Asian patients with varus osteoarthritic knees and healthy knees.J Arthroplasty,24,861-867.
19. Mullaji, AB,Shetty, GM,Lingaraju, AP(2013).Which factors increase risk of malalignment of the hip-knee-ankle axis in TKA?.Clin Orthop Relat Res,471,134-141.
20. Nagamine, R,Miura, H,Bravo, CV(2000).Anatomic variations should be considered in total knee arthroplasty.J Orthop Sci,5,232.
21. Nam, D,Vajapey, S,Haynes, JA(2016).Does Use of a Variable Distal Femur Resection Angle Improve Radiographic Alignment in Primary Total Knee Arthroplasty?.J Arthroplasty,31,91-96.
22. Oh, Y,Wakabayashi, Y,Kurosa, Y(2014).Potential pathogenic mechanism for stress fractures of the bowed femoral shaft in the elderly: Mechanical analysis by the CT-based finite element method.Injury,45,1764-1771.
23. Pearle, AD,Kendoff, D,Musahl, V(2009).Perspectives on computer-assisted orthopaedic surgery: movement toward quantitative orthopaedic surgery.J Bone Joint Surg Am,91,7-12.
24. Ranawat, AS,Ranawat, CS,Elkus, M(2005).Total knee arthroplasty for severe valgus deformity.J Bone Joint Surg Am,87,271-284.
25. Sasaki, S,Miyakoshi, N,Hongo, M(2012).Low-energy diaphyseal femoral fractures associated with bisphosphonate use and severe curved femur: a case series.J Bone Miner Metab,30,561-567.
26. Schilcher, J,Howe, TS,Png, MA(2015).Atypical fractures are mainly subtrochanteric in Singapore and diaphyseal in Sweden: a cross-sectional study.J Bone Miner Res,30,2127-2132.
27. Sebastian, AS,Wilke, BK,Taunton, MJ,Trousdale, RT(2014).Femoral bow predicts postoperative malalignment in revision total knee arthroplasty.J Arthroplasty,29,1605-1609.
28. Shao, JJ,Wang, Q,Yuan, JB(2012).Surgical guidance system and computer navigation for simultaneous femoral osteotomy and total knee arthroplasty for treatment of osteoarthritis associated with severe extra-articular deformity.Chin Med J,125,4145-4148.
29. Shi, X,Li, H,Zhou, Z(2016).Comparison of Postoperative Alignment Using Fixed vs Individual Valgus Correction Angle in Primary Total Knee Arthroplasty With Lateral Bowing Femur.J Arthroplasty,31,976-983.
30. Shi, X,Li, H,Zhou, Z(2017).Individual valgus correction angle improves accuracy of postoperative limb alignment restoration after total knee arthroplasty.Knee Surg Sports Traumatol Arthrosc,25,27-83.
31. Thienpont, E,Paternostre, F,Pietsch, M(2013).Total knee arthroplasty with patient-specific instruments improves function and restores limb alignment in patients with extra-articular deformity.Knee,20,407-411.
32. Thienpont, E,Schwab, PE,Fennema, P(2014).A systematic review and meta-analysis of patient-specific instrumentation for improving alignment of the components in total knee replacement.Bone Joint J,96,1052-1061.
33. Thippanna, RK,Kumar, MN(2016).Lateralization of Femoral Entry Point to Improve the Coronal Alignment During Total Knee Arthroplasty in Patients With Bowed Femur.J Arthroplasty,31,1943-1948.
34. Wang, JW,Chen, WS,Lin, PC(2010).Total knee replacement with intra-articular resection of bone after malunion of A femoral fracture: can sagittal angulation be corrected?.J Bone Joint Surg Br,92,1392-1396.
35. Wang, JW,Wang, CJ(2002).Total knee arthroplasty for arthritis of the knee with extra-articular deformity.J Bone Joint Surg Am,84,1769-1764.
36. Woolson, ST,Harris, AH,Wagner, DW(2014).Component alignment during total knee arthroplasty with use of standard or custom instrumentation: a randomized clinical trial using computed tomography for postoperative alignment measurement.J Bone Joint Surg Am,96,366-372.
37. YauWP,Chiu, KY,Tang, WM(2007).Coronal bowing of the femur and tibiA in Chinese: its incidence and effects on total knee arthroplasty planning.J Orthop Surg,15,32-37.