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Protesi di ginocchio a stabilizzazione posteriore e a conservazione del legamento crociato posteriore. Esame comparativo

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La protesi di ginocchio di primo impianto
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Estratto

L’artroprotesi totale di ginocchio si è oramai dimostrata un presidio efficace nel ridurre l’entità del dolore ed incrementare le capacità funzionali. Dati ottenuti da studi eseguiti sia su artroprotesi postero-stabilizzate (PS) che su quelle a conservazione del crociato posteriore (PCR) hanno messo in evidenza risultati rilevanti anche a lungo termine. Ancora oggi esiste, tuttavia, notevole controversia su quale sia il disegno migliore. Gli Autori che sostengono l’uno o l’altro adducono numerosi vantaggi: diversi studi hanno paragonato questi due tipi di artroprotesi, ma spesso la incompleta confrontabilità dei risultati tra i diversi progetti di ricerca per architettura e metodo, nonché la carenza di studi prospettici randomizzati, hanno reso difficile estrapolare conclusioni dai valori riportati [1]. È oramai evidente, ad ogni modo, come l’accuratezza dei tagli ossei, il recupero di un corretto asse di carico ed un preciso bilanciamento dei tessuti molli siano indispensabili per ottenere un risultato eccellente in un’artroprotesi di ginocchio [2].

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Cerulli, G., Caraffa, A., Antinolfi, P., Zamarra, G. (2005). Protesi di ginocchio a stabilizzazione posteriore e a conservazione del legamento crociato posteriore. Esame comparativo. In: La protesi di ginocchio di primo impianto. Springer, Milano. https://doi.org/10.1007/88-470-0379-2_15

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  • DOI: https://doi.org/10.1007/88-470-0379-2_15

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