عنوان
پدید آورنده
موضوع
رده
کتابخانه
محل استقرار
NATIONAL BIBLIOGRAPHY NUMBER
Number
98906P
LANGUAGE OF THE ITEM
.Language of Text, Soundtrack etc
انگلیسی
TITLE AND STATEMENT OF RESPONSIBILITY
Title Proper
Predicting soft tissue release for balancing in total knee arthroplasty based on angular parameters in alignment view with a mechanical concept in Emam Khomani hospital 2018-2020
Title Proper
پیش بینی آزادسازی بافت نرم برای متعادل سازی در آرتروپلاستی کامل زانو بر اساس پارامتر های زاویه ای در نمای همترازی با مفهوم مکانیکی در بیمارستان امام خمینی (ره) 2018-2020
General Material Designation
[Dissertation]
First Statement of Responsibility
Zainab Saeed Al-Mutawa
First Statement of Responsibility
زینب سعید المطوع
.PUBLICATION, DISTRIBUTION, ETC
Name of Publisher, Distributor, etc.
Tehran University of Medical Sciences, Medicine school
Date of Publication, Distribution, etc.
1401
PHYSICAL DESCRIPTION
Specific Material Designation and Extent of Item
34p
DISSERTATION (THESIS) NOTE
Dissertation or thesis details and type of degree
Doctor of Medicine (MD)
Dissertation or thesis details and type of degree
دکتری پزشکی عمومی
Date of degree
1401/11/19
Date of degree
1401/11/19
Text preceding or following the note
20
Text preceding or following the note
20
SUMMARY OR ABSTRACT
Text of Note
Introduction: According to good final result in total knee arthroplasty, this operation is increasing in the world. For earning best result, it is necessary to select suitable patient and optimize the medical situation. During operation in addition to select best prosthesis size, surgeon should maintain the balance between the extension and the flexion gap of the knee. However, amount of soft tissue releasing prediction depends on the pre operation planning which has been made the surgeons more oriented in preforming the surgery and it helped them to minimize the surgery timesMethod: Method: the studied cases are documentation of non-traumatic and non-hemophilic patients between 2018 and 2020 that have undergone total knee replacement surgeries, with revision or conversion surgeries as exclusion criteria. The three joint imaging was taken from the medical decimation and records that were archived in the Emam Khomeini hospital archive.Result: out of 1260 patients 1218(96.7%) were varus while 42(3.3%) valgus, the range in varus knees (0º-48º±6.984) and in valgus knees from (-1) to (-26) with SD(±6.742).in mild varus knees (<10º ) the release stage of 1,2,3(93.2%,3.8%,3%) , in moderate varus knees (10º -20º) the release stage of 1,2,3(69.2%,27.8%,3%) and in sever varus knees (>20º) the release stage of 1,2,3(68.5%,27.3%,4.2%).the mean of JCA/VA in release stage 1,2 and 3 (0.764±0.619827,0.390±0.090940, 0.148±0.124002) (p<0.001).In varus knees 89.2% of stage release 1 JCA/VA (≥0.51) 94.5% of stage release 2 JCA/VA (0.31-0.50) and 100% of stage release 3 JCA/VA (≤0.30) while in valgus knees 54.2% of stage release 1 JCA/VA (≥0.51) 33.3% of stage release 2 JCA/VA (0.31-0.50) and 100% of stage release 3 JCA/VA (≤0.30)Conclusion: We can predict pre-operative soft tissue release based on JCA/VA if it is ≥ 0.51,0.31-0.50 and ≤ 0.30 the release stage will be 1,2 and 3 respectively, increasing VA doesn’t indicate increasing of soft tissue release.
TOPICAL NAME USED AS SUBJECT
total knee arthroplasty
soft tissue release
flexion gap balancing
extension gap balancing
آزادسازی بافت نرم
آرتروپلاستی کامل زانو
پارامترهای زاویه ای در نمای همترازی با مفهوم مکانیکی
PERSONAL NAME - PRIMARY RESPONSIBILITY
Relator Code
, Author
Al-Mutawa, Zainab Saeed
PERSONAL NAME - SECONDARY RESPONSIBILITY
Relator Code
, Thesis advisor
Relator Code
, Thesis advisor
Relator Code
, Consulting advisor
Relator Code
, Consulting advisor
Relator Code
, Consulting advisor
Relator Code
, Consulting advisor
Ayati Firoozabadi, Mohammad
آیتی فیروزآبادی، محمد
Mortazavi, Mohammad Jawad
مرتضوی، محمدجواد
Mohammadi, Saeed
محمدی، سعید
CORPORATE BODY NAME - SECONDARY RESPONSIBILITY
Entry Element
Tehran University of Medical Sciences, Medicine school
ORIGINATING SOURCE
Country
ایران
Date of Transaction
20230307
LOCATION AND CALL NUMBER
Call Number
478Pardis
ELECTRONIC LOCATION AND ACCESS
Electronic name
مطالعه متن کتاب p
TL
276903
a
Y
