Department of Orthopedic Surgery, Hôpital Cantonal Fribourg, 1708, Fribourg, Switzerland.
Knee Surg Sports Traumatol Arthrosc. 2010 Feb;18(2):200-3. doi: 10.1007/s00167-009-0928-4. Epub 2009 Sep 26.
Open-wedge high tibial osteotomy for varus osteoarthritis of the knee is a successful treatment option, but is associated with potential intraoperative complications, jeopardizing outcome. We describe four technical hints avoiding complications as tibia plateau fracture, lateral hinge dislocation, over- and undercorrection, and unwanted increase of the posterior tibial slope and axial malrotation. The technique, which is primarily based on placing five Kirschner-wires (one for the osteotomy direction, two for the external fixator, and two for rotational and slope control) is simple, reproducible, inexpensive, and readily available.
开放式楔形胫骨高位截骨术治疗膝关节内翻性骨关节炎是一种成功的治疗选择，但也存在潜在的术中并发症风险，从而影响治疗效果。我们描述了 4 个技术要点，可以避免胫骨平台骨折、外侧铰链脱位、矫正过度或不足以及后胫骨倾斜度和轴向旋转移位等并发症。该技术主要基于放置 5 根克氏针（一根用于截骨方向，两根用于外固定器，两根用于旋转和斜率控制），操作简单、可重复、经济实惠且易于获得。
