Wich M, Veltin J, Höllen I, Letsch R
Klinik für Unfall-, Wiederherstellungs- und Handchirurgie, Unfallkrankenhaus, Berlin.
Unfallchirurg. 1999 Aug;102(8):652-5. doi: 10.1007/s001130050461.
We report the case of a 62-year-old woman with marked valgus and limitation of extension of the right knee joint as the result of a supracondylar fracture of the femur, originally treated by internal fixation with a dynamic condylar screw. Two years later, revision osteotomy with retrograde femoral nailing was carried out to achieve variation and improve extension. Within a week of operation the patient's right leg was fully weight bearing with normal axial positioning. A retrograde locking nail provides satisfactory and stable internal fixation in cases of revision.
我们报告了一例62岁女性患者，其因股骨髁上骨折导致右膝关节明显外翻及伸直受限，最初采用动力髁螺钉内固定治疗。两年后，进行了逆行股骨交锁髓内钉翻修截骨术以改善畸形并增加伸直度。术后一周内，患者右腿可完全负重且轴向定位正常。逆行交锁髓内钉在翻修病例中可提供满意且稳定的内固定。
