Mei-Dan Omer, McConkey Mark O, Bravman Jonathan T, Young David A, Pascual-Garrido Cecilia
Orthopedics. 2014 Apr;37(4):243-9. doi: 10.3928/01477447-20140401-06.
Femoral derotational osteotomy is an acceptable treatment for excessive femoral torsion. The described procedure is a minimally invasive single-incision technique based on an intramedullary saw that enables an inside-out osteotomy, preserving the periosteum and biological activity in the local bone and soft tissue. After the osteotomy is complete and correction is achieved, an expandable intramedullary nail is used to achieve immediate stability, without the need for locking screws. Indications, tips, and pitfalls related to this novel osteotomy technique are discussed.
股骨旋转截骨术是治疗股骨过度扭转的一种可接受的方法。所描述的手术是一种基于髓内锯的微创单切口技术，可进行由内向外的截骨，保留骨膜以及局部骨骼和软组织的生物活性。截骨完成并实现矫正后，使用可扩张髓内钉以实现即时稳定，无需锁定螺钉。本文讨论了与这种新型截骨技术相关的适应症、技巧和陷阱。
