Oxford Partial Knee 手技書

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Transcription:

Oxford Partial Knee Surgical Technique

Oxford Partial Knee The Oxford Partial Knee 1976 1 Phase Phase 24 6 Oxford Partial Knee 1982 4,5 6 Oxford 10 98 5,7 20 92 9 0.03mm 2,3 ArCom UHMWPE 8,9 4 4 XS 3mm7mmSML 3mm 9mm 4 X 1

Oxford ACL ACL X X ACL 4 1 X 12 1 X Oxford 4 anteromedial osteoarthritis 1 PCL 15 15 15 15 ACL 2

Oxford Partial Knee 110 ACL 13 Biomet 5,6 Oxford Oxford Partial Knee Murray Gunther Oxford Knee Phase 2 18 10 Vanguard M 3

X 2 100cm X 5 105% X 10 15 X 2mm 3 2 4 3 Small Medium Large XL 160 170 185 165 175 4 4

Oxford Partial Knee vs. Oxford Partial Knee Oxford Partial Knee 5

Oxford 30110 Oxford 5 110 90 3cm 6 2cm 5 MCL ACL ACL 6 6

Oxford Partial Knee 7 ACL 6mmMCL 8 Step 7 MCL 8 7

1mm 1mm 2 3mm 2cm 910 0mm 7 9 G G 3 Regular G 4 3 Small G 3 10 10 G 2 1 1 8

Oxford Partial Knee 2 3mm Oxford Saw Blade Kit ACL ACL 11 11 12 The Oxford Partial Knee Saw Blades 12 Biomet 226ADBZX00060000 9

MCL MCL 12mm 13 MCL 13 7 14 14 2 3mm 10

Oxford Partial Knee 454mm 5mm15 1cm 16IM 15 IM 17 90 IM 18 G 34 16 3 G 3 4 G 4 17 3 0mm +2mm 4 5 11 18

IM IM IM A B IM 19 2 1. 6.35mm B A 19 2. 4mm 6.35mm 20 20 IM 12

Oxford Partial Knee A B C A B C IM IM D IM IM E D E 13

21 MCL 12mm 22 MCL ACL 21 MCL MCL 22 14

Oxford Partial Knee 1mm 0 2 1 7 3 3mm 4 4mm 3 1mm 4 15

0 23 0 24 25 23 24 25 16

Oxford Partial Knee 26 26 17

90 45 Part A 27 4mm 3mm Part B 27 18

Oxford Partial Knee Part C 28 20 4mm 1mm 0mm 5mm 2mm 3mm 3 28 1mm 29 29 mmmmmm 19

20 3031 20 1mm 1mm 4 34 5 30 31 20

Oxford Partial Knee 32 32 33 3435 33 3mm 34 35 21

Biomet 226ADBZX00060000 36 10mm 36 37 2 9 The Oxford Partial Knee Saw Blades 37 2 38 38 10mm 10mm 39 39 22

Oxford Partial Knee 40 40 41 42 39 41 40 42 23

43 44 1mm 2mm 43 20 45 44 45 24

Oxford Partial Knee 46 2 45 46 25

2 30 45 1 3 4 47 47 48 48 26

Oxford Partial Knee PPS HA PPS HA 1 1 49 G Regular G 4 49 Small G 3 +2mm 3mm 50 51 0 50 51 27

3mm 0 6.35mm 52 52 28

Oxford Partial Knee 53 2mm 3mm 2mm 2 54 53 54 29

55 55 56 56 30

Oxford Partial Knee 5758 57 58 31

Appendix 1 X X X X 11 X 40 59 33 59 32

Appendix X A/A <10<10 B/B <15<0 C/C D <4mm E/E <5<5 F/F 7 5 G <2mm H <2mm J <5mm K L X M N O P Q R 33

X X 1 1 1 10 60 1mm Radiodense line subchondral bone plate Plate 1 X 9515 17 60 UKA UKA MP 22B1X00005BK0534 22B1X00005BK0643 21600BZY00573000 21300BZY00568000 22700BZX00164000 34

References 1. Goodfellow, J. et al. The Mechanics of the Knee and Prosthesis Design. The Journal of Bone and Joint Surgery [Br]. 60-B:358 69, 1978. 2. Argenson, J. et al. Polyethylene Wear in Meniscal Knee Replacement. A One to Nine-year Retrieval Analysis of the Oxford Knee. The Journal of Bone and Joint Surgery [Br]. 74-B:228 32, 1992. 3. Psychoyios, V. et al. Wear of Congruent Meniscal Bearings in Unicompartmental Knee Arthroplasty A Retrieval Study of 16 Specimens. The Journal of Bone and Joint Surgery [Br]. 80-B:976 82, 1998. 4. White, S. et al. Anteromedial Osteoarthritis of the Knee. The Journal of Bone and Joint Surgery [Br]. 73-B:582 86, 1991. 5. Murray, D. et al. The Oxford Medial Unicompartmental Arthroplasty, a Ten Year Survival Study. The Journal of Bone and Joint Surgery [Br]. 80-B:983 9, 1998. 6. Weale, A. et al. Does Arthritis Progress in the Retained Compartments after Oxford Medial Unicompartmental Arthroplasty? Journal of Bone and Joint Surgery [Br]. 81-B:783 9, 1999. 7. Price, A. et al. Ten Year Survival Results of Oxford Mobile Bearing Unicompartmental Knee Arthroplasty in Young Patients. I.S.T.A. Chicago, 1999. 8. Bankston, A. et al. Comparison of Polyethylene Wear in Machined Versus Moulded Polyethylene. Clinical Orthopaedics and Related Research. 317:37 43, 1995. 9. Kendrick, B. et al. Polyethylene Wear of Mobile-bearing Unicompartmental Knee Replacement at 20-years. The Journal of Bone and Joint Surgery [Br]. 93- B:470 5, 2010. 11. Keyes, G. et al. The Radiographic Classification of Medial Gonarthrosis. Correlation with Operation Methods in 200 Knees. Acta Orthopaedica Scandinavica. 63 (5):497 501, 1992. 12. Gibson, P. et al. Stress Radiography in Degenerative Arthritis of the Knee. The Journal of Bone and Joint Surgery [Br]. 68-B:608 9, 1986. 13. Berend, K. et al. Does Preoperative Patellofemoral Joint State Affect Medial Unicompartmental Arthroplasty Survival? AAOS Poster No. P204. February 2011. 14. Berend, K. et al. Obesity, Young Age, Patellofemoral Disease and Anterior Knee Pain: Identifying the Unicondylar Arthroplasty Patient in the United States. Orthopedics. 30(Suppl 5):19 23, 2007. 15. Kang, S. et al. Pre-operative Patellofemoral Degenerative Changes Do Not Affect the Outcome After Medial Oxford Unicompartmental Knee Replacement. The Journal of Bone and Joint Surgery [Br]. 93-B:476 8, 2010. 16. Pandit, H. et al. Unnecessary Contraindications for Mobile-bearing Unicompartmental Knee Replacement. The Journal of Bone and Joint Surgery [Br]. 93-B:622 8, 2011. 17. Tibrewal, S. et al. The Radiolucent Line Beneath the Tibial Components of the Oxford Meniscal Knee. The Journal of Bone and Joint Surgery. 66-B:523 8, 1984. 18. Gunther TV, Murray DW, Miller R, Wallace DA, Carr AJ, 0'Connor JJ, McLardy Smith P, Goodfellow JW. Lateral unicompartmental arthroplasty with the Oxford meniscal knee. The Knee;No.3;33-39. 10. Pandit, H. et al. Unicompartmental Knee Replacement for Patients with Partial Thickness Cartilage Loss in the Affected Compartment. The Knee. 18(3)168 71, 2011. ジンマーバイオメット 本社 105-0011 東京都港区芝公園二丁目 11 番 1 号住友不動産芝公園タワー 15 階 Tel. 03-6402-6600( 代表 )Fax. 03-6402-6620 http://www.zimmerbiomet.com/ja カスタマーサービス ( 商品のご注文 ) Tel. 0463-30-4801 Fax. 0463-30-4821 製品のお問合せ Tel. 03-6402-6602 営業拠点 : 札幌 仙台 北関東 東京 吉祥寺 横浜 名古屋 大阪 岡山 福岡 2016 Zimmer Biomet G.K. D2029-1(E)8/2016 Oxford Partial Knee 手術手技書