Müller M, Strecker W
Klinik für Orthopädie und Unfallchirurgie, Klinikum am Bruderwald, Buger Strasse 80, 96049, Bamberg, Deutschland.
Orthopade. 2010 Apr;39(4):444-8. doi: 10.1007/s00132-009-1579-3.
A 59-year-old woman with bilateral congenital knee dislocation due to Larsen syndrome was treated by arthroplasty. To prevent neurovascular deficiency and major loss of bone substance, a continuous joint distraction was performed by unilateral external fixation. After a period of 25 days and a leg lengthening of 4.5 cm, a constrained total knee endoprosthesis was implanted. Both operations and their postoperative courses were free of complications. A previously planned lengthening of the Achilles tendon was unnecessary.
一名因拉森综合征导致双侧先天性膝关节脱位的59岁女性接受了关节成形术治疗。为防止神经血管缺损和大量骨质丢失,通过单侧外固定进行持续关节牵张。25天后,腿部延长了4.5厘米,随后植入了限制性全膝关节假体。两次手术及其术后过程均无并发症。先前计划的跟腱延长术并无必要。