胫骨近端截骨术的外固定：三种方法的比较
External fixation in proximal tibial osteotomy: a comparison of three methods.
作者信息
Geiger F, Schneider U, Lukoschek M, Ewerbeck V
机构信息
Orthopädische Universitätsklinik, Schlierbacher Landstrasse, 200a, D-69118 Heidelberg, Germany.
出版信息
Int Orthop. 1999;23(3):160-3. doi: 10.1007/s002640050336.
During a period of 6 years (1990-1996), 154 patients with unilateral gonarthrosis underwent proximal tibial osteotomy using 3 different methods of external fixation: (1) closing wedge osteotomy and bilateral fixation; (2) closing wedge osteotomy with unilateral fixation, and (3) opening wedge osteotomy with unilateral fixation. The most common complications were pin-tract infection (25%), temporary nerve palsy (10%), and loss of alignment (17%). At least one complication developed in 33% of patients in this study, indicating that the use and technique of external fixation in proximal tibial osteotomy can be problematic.
在6年期间（1990 - 1996年），154例单侧膝关节病患者采用3种不同的外固定方法进行胫骨近端截骨术：（1）闭合楔形截骨术及双侧固定；（2）闭合楔形截骨术单侧固定；（3）开放楔形截骨术单侧固定。最常见的并发症为针道感染（25%）、暂时性神经麻痹（10%）及对线丢失（17%）。本研究中33%的患者至少发生一种并发症，这表明胫骨近端截骨术中使用外固定及其技术可能存在问题。
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