Vena Giuseppe, D'Adamio Stefano, Amendola Annunziato
Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA 48823, USA.
Sports Med Arthrosc Rev. 2013 Jun;21(2):113-20. doi: 10.1097/JSA.0b013e3182900720.
High tibial osteotomy and distal femoral osteotomy are 2 popular techniques for the treatment of monocompartmental osteoarthritis of the knee joint in young patients. Injury to the popliteal neurovascular bundle is still considered to be the most severe complication during an osteotomy procedure even if the rate of occurrence is very low. Loss of correction and hardware failures are more frequent, but not as devastating. Patella baja and modification of tibial slope are associated with high tibial osteotomy. In contrast, complications most commonly associated with distal femoral osteotomy include nonunion and failure of the internal fixation. In general with evolution of techniques and fixation devices, complication rates seem to be reduced. A summary and literature review of complications associated with knee osteotomies will be discussed in this paper.
高位胫骨截骨术和股骨远端截骨术是治疗年轻患者膝关节单间室骨关节炎的两种常用技术。即使发生率很低，腘部神经血管束损伤仍被认为是截骨手术中最严重的并发症。矫正丢失和内固定失败更为常见，但并非毁灭性的。低位髌骨和胫骨坡度改变与高位胫骨截骨术有关。相比之下，与股骨远端截骨术最常见相关的并发症包括骨不连和内固定失败。总体而言，随着技术和固定装置的发展，并发症发生率似乎有所降低。本文将讨论与膝关节截骨术相关并发症的综述及文献回顾。
