胫骨弯曲前后倒“U”形截骨术：技术与早期结果。
Anterior posterior inverted-'U' osteotomy for tibia vara: technique and early results.
机构信息
Department of Orthopaedics and Trauma, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria.
出版信息
Arch Orthop Trauma Surg. 2011 Apr;131(4):437-42. doi: 10.1007/s00402-010-1139-7. Epub 2010 Jun 17.
BACKGROUND
Blount disease often requires operative treatment including osteotomy. This study evaluated the safety and outcome of the inverted-U osteotomy in Blount disease.
METHODS
We performed an anteroposterior inverted-U osteotomy without a jig or image intensifier in the treatment of a series of 31 children with the intention of achieving anterior-posterior stability at the osteotomy site without risk of major neurological and vascular injuries.
RESULTS
We found no vascular or common peroneal nerve injury. There was stability at the osteotomy site without the need for internal fixation. Thirty knees in 20 patients had good outcome, while 17 knees (11 patients) had fair outcome.
CONCLUSIONS
Our results suggest that this technique is safe, effective and gives satisfactory outcome in the operative correction of Blount's disease.
背景
Blount 病常需手术治疗，包括截骨术。本研究评估了 Blount 病中 U 形截骨术的安全性和效果。
方法
我们在没有使用夹具或影像增强器的情况下进行了前路 U 形截骨术，目的是在不增加重大神经和血管损伤风险的情况下，使截骨部位获得前后稳定性。
结果
我们未发现血管或腓总神经损伤。截骨部位稳定，无需内固定。20 名患者中有 30 个膝关节获得良好结果，17 个膝关节（11 名患者）获得一般结果。
结论
我们的结果表明，该技术在 Blount 病的手术矫正中是安全、有效且令人满意的。
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