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膝关节周围畸形的规划分析。I. 额状面畸形。

Planning analysis of knee-adjacent deformities. I. Frontal plane deformities.

作者信息

Strecker Wolf

机构信息

Klinik für Orthopädische Chirurgie und Unfallchirurgie, Klinikum Bamberg, Bamberg.

出版信息

Oper Orthop Traumatol. 2006 Sep;18(3):259-72. doi: 10.1007/s00064-006-1175-1.

DOI:10.1007/s00064-006-1175-1
PMID:16953350
Abstract

The planning analysis of leg deformities around the knee joint is based on a standardized clinical examination and on long leg standing anteroposterior (AP) radiographs, which may be complemented by spot-film radiographs and stress radiographs. The principles of true-nominal analysis in six steps are used to characterize the deformity and plan the corrective osteotomy: 1. Drawing in the anatomic points of reference. 2. Establishing the mechanical weight-bearing axis. 3. Determining the axis and orientation angles around the knee joint. 4. Determining the correction goal. 5. Deciding on the osteosynthesis technique and the osteotomy level. 6. Measuring the angle of correction. All the steps are exemplified on a valgus deformity and a varus deformity.

摘要

膝关节周围腿部畸形的规划分析基于标准化临床检查和长腿站立前后位(AP)X线片,可能还需补充点片X线片和应力X线片。采用六步真-标称分析原则来描述畸形并规划矫正截骨术:1. 绘制解剖参考点。2. 确定机械负重轴。3. 确定膝关节周围的轴和方向角。4. 确定矫正目标。5. 决定接骨术技术和截骨水平。6. 测量矫正角度。所有步骤均以外翻畸形和内翻畸形为例进行说明。

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