Groupe Ortholux, Hôpital Kirchberg, 9 rue Edward Steichen, 2540, Luxembourg, Luxembourg.
Knee Surg Sports Traumatol Arthrosc. 2013 Mar;21(3):731-5. doi: 10.1007/s00167-012-2061-z. Epub 2012 May 30.
A 14-year-old girl suffering from severe bilateral late-onset Blount's disease was treated by triple proximal tibial osteotomy. Surgical procedures included dome, respectively, closing wedge valgus osteotomy of the tibia, elevating osteotomy of the medial tibial plateau and lateralising osteotomy of the anterior tibial tuberosity. Mechanical leg axis was restored close to normal, the depression of the medial tibial plateau corrected and the extensor apparatus of the knee realigned. At 7.5 (right side) and 5.5 (left side) months of follow-up, all osteotomies had radiologically consolidated and the patient did not complain of knee pain or instability. Level of evidence IV.
一位 14 岁女孩患有严重双侧迟发性 Blount 病，接受了三近端胫骨截骨术治疗。手术包括穹顶、分别为胫骨的闭合楔形外翻截骨术、内侧胫骨平台抬高截骨术和前胫骨结节外侧化截骨术。机械腿轴接近正常恢复，内侧胫骨平台的凹陷得到纠正，膝关节的伸肌装置得到重新排列。在 7.5 个月（右侧）和 5.5 个月（左侧）的随访中，所有截骨均在影像学上得到巩固，患者没有抱怨膝关节疼痛或不稳定。证据水平 IV。
