Alt V, Seligson D
C.H.G. St. Nicolas, Sarrebourg, Service de chirurgie orthopédique, Sarrebourg, Moselle, France.
Acta Orthop Belg. 2001 Feb;67(1):49-53.
Knee arthrodesis is a useful procedure in difficult cases such as failed total knee arthroplasty, severe articular trauma, bone tumors, and infected knee joints. The most common techniques for knee fusion include external fixation and intramedullary nailing. Küntscher's nail is driven antegrade from the intertrochanteric region into the knee. We describe a new technique for knee arthrodesis using a new intramedullary nail and an old Belgian surgical approach to the knee joint published by Lambotte in 1913. This approach provides excellent exposure for the implantation of the nail by osteotomizing the patella vertically. The nail is implanted using HeyGroves method, whereby the nail is inserted retrograde into the femur and pulled distally anterograde into the tibia. We now use this technique as our standard procedure for knee fusion.
膝关节融合术在诸如全膝关节置换失败、严重关节创伤、骨肿瘤和感染性膝关节等困难病例中是一种有用的手术方法。膝关节融合最常用的技术包括外固定和髓内钉固定。克氏针从转子间区域顺行打入膝关节。我们描述了一种使用新型髓内钉和1913年兰博特发表的一种古老的比利时膝关节手术入路进行膝关节融合的新技术。这种入路通过垂直截骨髌骨为髓内钉植入提供了极佳的暴露。髓内钉采用海格罗夫斯方法植入，即将髓内钉逆行插入股骨，然后顺行向远端拉入胫骨。我们现在将这种技术作为我们膝关节融合的标准手术方法。
