Krengel W F, Staheli L T
Department of Orthopedics, Children's Hospital and Medical Center, Seattle, Washington 98105.
Clin Orthop Relat Res. 1992 Oct(283):285-9.
A retrospective analysis was done of 52 rotational tibial osteotomies (RTOs) performed on 35 patients with severe idiopathic tibial torsion. Thirty-nine osteotomies were performed at the proximal or midtibial level. Thirteen were performed at the distal tibial level with a technique previously described by one of the authors. Serious complications occurred in five (13%) of the proximal and in none of the distal RTOs. For severe and persisting idiopathic tibial torsion, the authors recommend correction by RTO at the distal level. Proximal level osteotomy is indicated only when a varus or valgus deformity required concurrent correction.
对35例重度特发性胫骨扭转患者实施的52例胫骨旋转截骨术（RTO）进行回顾性分析。39例截骨术在胫骨近端或中段进行。13例在胫骨远端进行，采用作者之一先前描述的技术。近端RTO中有5例（13%）发生严重并发症，远端RTO无一例发生严重并发症。对于重度且持续存在的特发性胫骨扭转，作者建议在远端行RTO矫正。仅当需要同时矫正内翻或外翻畸形时，才考虑近端截骨术。
