Elson David William, Malpas Claire-Marie Catherine, Wilson Christopher
CAVOC, Cardiff and Vale UHB, Cardiff, UK.
BMJ Case Rep. 2014 Dec 24;2014:bcr2014206492. doi: 10.1136/bcr-2014-206492.
Distal femoral osteotomy (DFO) is successful in treating painful valgus arthritis of the knee. We present a case where painless recurrent knee effusion was attributed to constitutional valgus. The absence of pain made the indication for surgery atypical so DFO was carefully considered and planned. A small correction was performed, bringing alignment closer to neutral with complete resolution of the recurrent effusion. We suggest that the indications for knee osteotomy can be expanded to include recurrent joint effusion in carefully selected patients.
股骨远端截骨术(DFO)成功治疗了膝关节疼痛性外翻关节炎。我们报告一例无痛性复发性膝关节积液归因于先天性外翻的病例。无痛的情况使手术指征不典型,因此对DFO进行了仔细考虑和规划。进行了小幅度矫正,使力线更接近中立位,复发性积液完全消退。我们建议,膝关节截骨术的指征可以扩大到包括精心挑选的复发性关节积液患者。