Mechrefe Anthony P, Koh Eugene Y, Trafton Peter G, DiGiovanni Christopher W
Department of Orthopaedic Surgery, Brown Medical School, Rhode Island Hospital, 1287 North Main Street, Providence, RI 02903, USA.
Foot Ankle Clin. 2006 Mar;11(1):19-33, vii. doi: 10.1016/j.fcl.2005.12.004.
Tibial malunion, a fracture healed in a position that affects the mechanical function of the limb, can be difficult to assess and to correct surgically. Precise definition of malunion has yet to be determined, and the limits of deformity which are associated with arthritic change also remain imprecise. Surgical intervention is therefore primarily indicated in symptomatic patients or those with relatively severe deformity. The several described techniques for correction of tibial malunion can achieve excellent results, although the surgery is not without substantial risk and recovery time. These issues should be discussed at length with patients before surgery.
胫骨畸形愈合是指骨折在影响肢体力学功能的位置愈合，评估和手术矫正都可能较为困难。畸形愈合的确切定义尚未确定，与关节炎变化相关的畸形限度也仍不明确。因此，手术干预主要适用于有症状的患者或畸形相对严重的患者。尽管手术存在重大风险且恢复时间较长，但已描述的几种矫正胫骨畸形愈合的技术可取得良好效果。术前应与患者详细讨论这些问题。
