Jiao Shao-feng, Qin Si-he, Wang Zhen-jun, Wu Hong-fei, Zheng Xue-jian
Chuiyangliu Hospital, Beijing 100024, China.
Zhongguo Gu Shang. 2011 Aug;24(8):695-7.
To study therapeutic effects of limited internal fixation combined with external fixation in the treatment of deformity of distal end of femur, as well as to explore its effect on the function of knee joint.
From June 2004 to June 2009, 38 patients with deformity of distal end of femur were treated with osteotomy at femoral supracondylar and internalfixation combined with hybrid external fixator. Among the patients, 19 patients were male and 19 patients were female, ranging in age from 14 to 58 years, with an average of 26 years. Six patients had genu valgum, 4 patients had varus of the distal end of femur, 2 patients had varus combined with rotation deformity,3 patients had genu recurvation and 23 patients had deformity of genuflex. The function of knee joint was evaluated according to Dimeglio clinical assessment after the treatment.
All the patients were followed up and the during ranged from 6 to 48 months, with a mean period of 23 months. All the deformity obtained satisfactory correction, without complications such as limitation of motion of the knee joint, under correction or over correction,displacement of the section of the osteotomy,internal fixation loosening and fracture. Nineteen patients got an excellent result, 12 good, 5 poor and 2 bad.
Supracondylar femoral osteotomy and internal fixation combined with hybrid external fixator is a safe and effective surgery for the treatment of deformity of distal end of femur. This method combines the advantages of internal fixation and external fixation.
研究有限内固定结合外固定治疗股骨远端畸形的疗效，并探讨其对膝关节功能的影响。
2004年6月至2009年6月，对38例股骨远端畸形患者行股骨髁上截骨、内固定联合混合式外固定器治疗。其中男19例，女19例；年龄14～58岁，平均26岁。膝外翻6例，股骨远端内翻4例，内翻合并旋转畸形2例，膝反屈3例，屈膝畸形23例。治疗后根据Dimeglio临床评估标准评价膝关节功能。
所有患者均获随访，随访时间6～48个月，平均23个月。所有畸形均获得满意矫正，无膝关节活动受限、矫正不足或过度矫正、截骨端移位、内固定松动及骨折等并发症。优19例，良12例，可5例，差2例。
股骨髁上截骨、内固定联合混合式外固定器是治疗股骨远端畸形的一种安全有效的手术方法。该方法结合了内固定和外固定的优点。
