[Prosthetic knee arthroplasty: current status and future perspectives].
Prosthetic replacement of the knee-joint has become an accepted method of treatment for osteo-arthritis and various inflammatory, metabolic or hematologic conditions of the knee-joint. It usually makes use of semi-constrained resurfacing prostheses which belong to several types differing by their degree of constraint and their intrinsic stability which are related to implant geometry and implantation technique. Ancillary instruments have been developed which make it possible, provided the rationale of the operation is well understood, to reproducibly attain the goals of the operation, i.e. limb realignment, ligament balance in flexion and extension, adjustment of joint-line level and correct patellar tracking. Improvement in the clinical outcome of the operation has also resulted from better rehabilitation and postoperative treatment, particularly to prevent local and systemic complications.
Lemaire
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Service de Chirurgie de l'appareil locomoteur (Orthopédie-Traumatologie), centre hospitalier universitaire du Sart Tilman, Liège.
D000368:Aged; D001178:Arthroplasty / Q000379:methods; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging; D007720:Knee Prosthesis; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control; D010329:Patella / Q000601:surgery; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000517:prevention & control; D011859:Radiography; D016059:Range of Motion, Articular; D013923:Thromboembolism / Q000517:prevention & control
L'arthroplastie prothétique du genou: état actuel et perspectives d'avenir.