Esenkaya Irfan
School of Medicine, Department of Orthopaedics and Traumatology, Inonu University, 44065, Malatya, Turkey.
Knee Surg Sports Traumatol Arthrosc. 2006 May;14(5):443-6. doi: 10.1007/s00167-005-0671-4. Epub 2005 Jun 15.
Lateral tibial plateau fractures or lateral cortex fractures may occur when performing medial opening wedge osteotomy. Some special tools have been described to prevent lateral tibial plateau or lateral cortex fracture during the medial separation of the osteotomy planes in medial opening wedge osteotomy. The author has developed a distractor with angle-scale to prevent such complications. Between December 2001 and April 2004, 40 opening wedge osteotomies stabilised with the plate with wedge were performed on 38 patients. The distraction of initial osteotomies in 25 knees was done with different techniques and there were three lateral tibial plateau fractures and nine lateral cortex fractures. The remaining, recently operated, 15 knees were treated with the aid of the above described angle-scale distractor to prevent lateral tibial plateau and lateral cortex fractures. There was no lateral tibial plateau fractures during the surgery when we used this instrument for the distraction of the osteotomy sites. A subsequent prospective study evaluated this new device.
进行内侧张开楔形截骨术时可能会发生胫骨外侧平台骨折或外侧皮质骨折。已有一些特殊工具被描述用于在内侧张开楔形截骨术的截骨平面内侧分离过程中预防胫骨外侧平台或外侧皮质骨折。作者开发了一种带有角度刻度的撑开器以预防此类并发症。在2001年12月至2004年4月期间，对38例患者进行了40例使用楔形钢板固定的张开楔形截骨术。25个膝关节的初始截骨撑开采用了不同技术，发生了3例胫骨外侧平台骨折和9例外侧皮质骨折。其余最近手术的15个膝关节借助上述角度刻度撑开器进行治疗，以预防胫骨外侧平台和外侧皮质骨折。当我们使用该器械撑开截骨部位时，手术过程中未发生胫骨外侧平台骨折。随后进行了一项前瞻性研究对这种新装置进行评估。
