Minimally Invasive Total Knee Arthroplasty 微創人工膝關節置換手術
關節炎晚期，包括骨關節炎、類風濕性關節炎、痛風性關節炎、外傷性骨關節炎以及自發性膝骨壞死，可能因為疼痛、關節積液、變形以及活動範圍受限，而導致嚴重的功能障礙。
全膝關節置換手術可以提供新的、平滑的關節面（關節表面重建）並矯正患肢的變形（重新對線），是骨科領域中最令人滿意的手術之一。
Procedures and Features
Minimally Invasive Surgery
The average operation time for minimally invasive total knee arthroplasty is approximately 30 minutes or less. For simultaneous bilateral knee replacement, the surgery takes around 70 minutes or less. The incision size is about 8 to 10 centimeters. More importantly, compared to traditional surgical methods, our procedure causes less damage to the quadriceps muscle. As a result, walking aids are usually not needed after surgery.
Multimodal Blood Management
We follow a standardized protocol that includes intra-articular medication to reduce blood loss, as well as post-operative blood transfusion arrangements. This ensures a safe and comfortable recovery, even for patients undergoing simultaneous bilateral knee replacement.
Multimodal Pain Management
We combine oral medications, intravenous injections, and patient-controlled analgesia devices to greatly enhance early rehabilitation and patient satisfaction. With our pain management approach, nearly all patients are able to walk well on the first day after surgery.
Venous Thromboembolism (VTE) Prevention
VTE is a common complication following total knee arthroplasty, but it can be effectively prevented. Our protocol includes the use of intravenous low molecular weight heparin, low-dose aspirin, and factor Xa inhibitors to provide strong protection against this condition.
Professional Rehabilitation Program
Experienced orthopedic surgeons, rehabilitation physicians, physical therapists, and specialized nurses support patients with their post-operative rehabilitation. This includes continuous passive motion (CPM) exercises with machines, cold therapy, walking independently with or without aids, stair training, and addressing common post-surgical concerns.
手術流程與特色
微創手術
微創全膝關節置換手術的平均手術時間約為 30 分鐘以內；若同時進行雙膝關節置換手術，時間約為 70 分鐘以內。傷口大小約為 8 至 10 公分。更重要的是，相較於傳統手術方式，我們在手術過程中對股四頭肌的損傷更少。因此，術後通常不需要使用助行器。
多模式病人失血管理
我們有標準流程，包括關節內藥物注射以減少失血量，以及術後的輸血安排，即使進行雙膝同時手術，患者也能安全舒適地恢復。
多模式疼痛控制管理
我們結合口服、靜脈注射或病人自控止痛裝置，極大地促進了早期復健與病人滿意度。在我們的疼痛控制下，幾乎所有病人都能在術後第一天順利行走。
靜脈血栓栓塞預防機制
靜脈血栓栓塞（VTE）是全膝關節置換手術常見的併發症之一，但可以有效預防。我們的預防流程結合靜脈注射低分子肝素、低劑量阿斯匹靈與第 Xa 因子抑制劑，有效防止此併發症發生。
專業復健計畫
我們的團隊由經驗豐富的骨科醫師、復健科醫師、物理治療師及專科護理師組成，協助病人進行術後復健，包括使用機器進行持續被動活動訓練、冰敷、自主或輔助行走、上下樓梯訓練，以及解答術後常見問題。