Stevens Peter M, MacWilliams Bruce, Mohr R Alexander
Department of Orthopedics, University of Utah School of Medicine, Salt Lake City, Utah 84113, USA.
J Pediatr Orthop. 2004 Jan-Feb;24(1):70-4. doi: 10.1097/00004694-200401000-00013.
Many authors have advocated stapling or epiphysiodesis of the distal medial femur as a means of correcting genu valgum. However, in the literature, aside from clinical improvement (appearance, pain, function), objective evidence of kinetic and kinematic improvement is lacking. Therefore, the authors undertook a prospective gait analysis evaluation of a series of patients treated for genu valgum, comparing pre- and postsurgical measurements to document the benefits of normalizing the mechanical axis. These results indicate that after surgery knee and hip angles and knee moments were returned to within the normal range for a similarly aged control group.
许多作者主张将股骨内侧远端钉合或骺骨干固定术作为矫正膝外翻的一种方法。然而,在文献中,除了临床改善(外观、疼痛、功能)外,缺乏动力学和运动学改善的客观证据。因此,作者对一系列接受膝外翻治疗的患者进行了前瞻性步态分析评估,比较手术前后的测量结果,以记录使机械轴正常化的益处。这些结果表明,手术后,膝关节和髋关节角度以及膝关节力矩恢复到了年龄相仿的对照组的正常范围内。