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扩大适应症:股骨远端截骨术成功用于治疗复发性膝关节积液。

Expanding the indications: distal femoral osteotomy used successfully to treat recurrent knee effusion.

作者信息

Elson David William, Malpas Claire-Marie Catherine, Wilson Christopher

机构信息

CAVOC, Cardiff and Vale UHB, Cardiff, UK.

出版信息

BMJ Case Rep. 2014 Dec 24;2014:bcr2014206492. doi: 10.1136/bcr-2014-206492.

Abstract

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.

摘要

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。

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Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):1-2. doi: 10.1007/s00167-012-2175-3. Epub 2012 Aug 10.
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