带长柄全膝关节置换术治疗高位胫骨截骨术后骨不连

Total knee arthroplasty with long stem for treatment of nonunion after high tibial osteotomy.

作者信息

Yoshino Nobuyuki, Takai Shinro, Watanabe Yoshinobu, Nakamura Shinichiro, Kubo Toshikazu

机构信息

Department of Orthopaedic Surgery, Kyoto Kujo Hospital, Japan.

出版信息

J Arthroplasty. 2004 Jun;19(4):528-31. doi: 10.1016/j.arth.2003.12.068.

DOI:10.1016/j.arth.2003.12.068

PMID:15188119

Abstract

Nonunion is an uncommon complication of high tibial osteotomy (HTO), and thus literature regarding treatment of it is very limited. The usual treatment for nonunion after HTO is repeat fixation of the osteotomy site. When union is not achieved, hinge or constrained total knee arthroplasty (TKA) is used. We describe a patient for whom nonunion after HTO was successfully treated using long-stem TKA with bone graft to have the nonunion site unite simultaneously.

摘要

骨不连是高位胫骨截骨术（HTO）一种罕见的并发症，因此关于其治疗的文献非常有限。HTO术后骨不连的常规治疗方法是对截骨部位进行再次固定。当未能实现骨愈合时，则采用铰链式或限制性全膝关节置换术（TKA）。我们描述了一名HTO术后骨不连患者，通过使用带植骨的长柄TKA成功治疗，使骨不连部位同时实现愈合。