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全膝关节置换术中胫骨结节截骨术。26例报告。

Osteotomy of the tibial tubercle during total knee replacement. A report of twenty-six cases.

作者信息

Wolff A M, Hungerford D S, Krackow K A, Jacobs M A

机构信息

Good Samaritan Hospital, Baltimore, Maryland 21239.

出版信息

J Bone Joint Surg Am. 1989 Jul;71(6):848-52.

PMID:2745481
Abstract

The cases of twenty-four patients who had twenty-six osteotomies of the tibial tubercle in conjunction with total knee replacement were analyzed with regard to complications and technical considerations. The patients were followed for a minimum of two years (average, three years and six months). Major complications related to the surgical technique occurred in 23 per cent of the knees and complications not related to the technique, in an additional 8 per cent. Rheumatoid arthritis and a history of at least one previous operation about the knee were predisposing factors for these complications.

摘要

对24例患者进行了分析,这些患者在全膝关节置换术的同时进行了26次胫骨结节截骨术,分析内容包括并发症和技术要点。对患者进行了至少两年的随访(平均为三年零六个月)。与手术技术相关的主要并发症发生在23%的膝关节中,与技术无关的并发症又占8%。类风湿性关节炎和至少有过一次膝关节手术史是这些并发症的诱发因素。

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