前外侧双平面胫骨近端开放楔形截骨术
Anterolateral Biplanar Proximal Tibial Opening-Wedge Osteotomy.
作者信息
Dean Chase S, Chahla Jorge, Moulton Samuel G, Nitri Marco, Serra Cruz Raphael, LaPrade Robert F
机构信息
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.
出版信息
Arthrosc Tech. 2016 May 23;5(3):e531-40. doi: 10.1016/j.eats.2016.02.015. eCollection 2016 Jun.
Abstract
Proximal tibial anterolateral opening-wedge osteotomies have been reported to achieve successful biplanar lower-extremity realignment. Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sagittal-plane tibial slope. The biplanar approach is able to simultaneously address both components of a patient's malalignment with a single procedure. The correction amount is verified with spacers and intraoperative imaging, while correction of the patient's heel height is simultaneously measured. A plate is secured into the osteotomy site, and the site is filled with bone allograft. The anterolateral tibial osteotomy has been reported to be an effective surgical procedure for correcting concomitant genu recurvatum and genu valgus malalignment.
摘要
据报道，胫骨近端前外侧开口楔形截骨术可成功实现双平面下肢重新对线。胫骨近端前外侧截骨术的适应症包括有症状的膝反屈合并膝外翻对线，通常见于矢状面胫骨坡度平坦的患者。双平面方法能够通过单一手术同时解决患者对线不良的两个方面。使用垫片和术中成像来验证矫正量，同时测量患者足跟高度的矫正情况。将钢板固定在截骨部位，并用同种异体骨填充该部位。据报道，胫骨前外侧截骨术是矫正合并膝反屈和膝外翻对线不良的有效手术方法。
相似文献
1
Anterolateral Biplanar Proximal Tibial Opening-Wedge Osteotomy.前外侧双平面胫骨近端开放楔形截骨术
Arthrosc Tech. 2016 May 23;5(3):e531-40. doi: 10.1016/j.eats.2016.02.015. eCollection 2016 Jun.
2
Anterolateral proximal tibial opening wedge osteotomy for biplanar correction in genu valgum recurvatum using patient specific instrumentation (PSI). A technical note.应用患者特异性截骨模板（PSI）行胫骨近端前外侧楔形截骨术治疗双平面膝内翻合并膝反屈畸形
Knee. 2021 Dec;33:58-64. doi: 10.1016/j.knee.2021.08.030. Epub 2021 Sep 21.
3
Opening wedge tibial osteotomy: the 3-triangle method to correct axial alignment and tibial slope.胫骨开放楔形截骨术：采用3-三角形法矫正轴向对线和胫骨坡度。
Am J Sports Med. 2005 Mar;33(3):378-87. doi: 10.1177/0363546504269034.
4
Treatment for Symptomatic Genu Recurvatum: A Systematic Review.有症状的膝反屈的治疗：一项系统评价
Orthop J Sports Med. 2020 Aug 12;8(8):2325967120944113. doi: 10.1177/2325967120944113. eCollection 2020 Aug.
5
Posteromedially placed plates with anterior staple reinforcement are not successful in decreasing tibial slope in opening-wedge proximal tibial osteotomy.后内侧置板联合前侧缝线加强固定不能成功降低胫骨高位截骨术中撑开后胫骨平台后倾角。
Knee Surg Sports Traumatol Arthrosc. 2017 Dec;25(12):3687-3694. doi: 10.1007/s00167-016-4311-y. Epub 2016 Sep 9.
6
Fixator-assisted Technique Enables Less Invasive Plate Osteosynthesis in Medial Opening-wedge High Tibial Osteotomy: A Novel Technique.固定器辅助技术实现内侧开口楔形高位胫骨截骨术的微创钢板接骨术：一种新技术
Clin Orthop Relat Res. 2015 Oct;473(10):3133-42. doi: 10.1007/s11999-015-4343-5.
7
Patella height is not altered by descending medial open-wedge high tibial osteotomy (HTO) compared to ascending HTO.与胫骨高位截骨术（HTO）相比，髌骨关节面高度在胫骨内侧开放楔形截骨术（HTO）中并没有下降。
Knee Surg Sports Traumatol Arthrosc. 2018 Jun;26(6):1859-1866. doi: 10.1007/s00167-017-4548-0. Epub 2017 Apr 17.
8
Proximal tibial anterior open-wedge oblique osteotomy: A novel technique to correct genu recurvatum.胫骨近端前侧开放性楔形斜行截骨术：一种矫正膝反屈的新技术。
Knee. 2017 Mar;24(2):345-353. doi: 10.1016/j.knee.2016.10.008. Epub 2016 Dec 2.
9
Anterolateral Proximal Tibial Opening Wedge Osteotomy to Treat Symptomatic Genu Recurvatum with Valgus Alignment: A Case Report.胫骨近端前外侧开口楔形截骨术治疗伴有外翻畸形的症状性膝反屈：一例报告
JBJS Case Connect. 2014 Aug 27;4(3):e71. doi: 10.2106/JBJS.CC.M.00264.
10
Prospective outcomes of young and middle-aged adults with medial compartment osteoarthritis treated with a proximal tibial opening wedge osteotomy.年轻和中年内侧间室骨关节炎患者行胫骨近端楔形撑开截骨术的前瞻性结果。
Arthroscopy. 2012 Mar;28(3):354-64. doi: 10.1016/j.arthro.2011.08.310. Epub 2011 Dec 14.
引用本文的文献
1
A Soft Tissue Technique for Treating Knee Hyperextension or Recurvatum: Posterior Oblique Ligament Advancement.一种治疗膝关节过度伸展或反曲的软组织技术：后斜韧带前移术。
Video J Sports Med. 2023 Nov 6;3(6):26350254231195086. doi: 10.1177/26350254231195086. eCollection 2023 Nov-Dec.
2
Three-Dimensional Hinge Axis Orientation Contributes to Simultaneous Alignment Correction in All Three Anatomical Planes in Opening-Wedge High Tibial Osteotomy.三维铰链轴方向有助于在开放性楔形高位胫骨截骨术中同时在三个解剖平面进行对线矫正。
Arthrosc Sports Med Rehabil. 2024 Feb 7;6(2):100888. doi: 10.1016/j.asmr.2024.100888. eCollection 2024 Apr.
3
True Mechanical Alignment is Found Only on Full-Limb and not on Standard Anteroposterior Radiographs.真正的机械对线仅在全下肢影像上才能发现，而在标准前后位X线片上无法发现。
Arthrosc Sports Med Rehabil. 2020 Dec 15;2(6):e753-e759. doi: 10.1016/j.asmr.2020.06.010. eCollection 2020 Dec.
4
Anterior Closing Wedge Proximal Tibial Osteotomy for Slope Correction in Failed ACL Reconstructions.前侧闭合楔形胫骨近端截骨术用于前交叉韧带重建失败后的坡度矫正
Arthrosc Tech. 2019 Apr 11;8(5):e451-e457. doi: 10.1016/j.eats.2019.01.001. eCollection 2019 May.
5
Anterior open-wedge hepta-lateral osteotomy for severe post-traumatic genu recurvatum: a case report and review of the literature.前路开放楔形七侧截骨术治疗严重创伤后膝反屈：1例报告并文献复习
Eur J Orthop Surg Traumatol. 2019 Feb;29(2):487-491. doi: 10.1007/s00590-018-2300-1. Epub 2018 Aug 24.
本文引用的文献
1
Anterolateral Proximal Tibial Opening Wedge Osteotomy to Treat Symptomatic Genu Recurvatum with Valgus Alignment: A Case Report.胫骨近端前外侧开口楔形截骨术治疗伴有外翻畸形的症状性膝反屈：一例报告
JBJS Case Connect. 2014 Aug 27;4(3):e71. doi: 10.2106/JBJS.CC.M.00264.
2
Osteotomy for treating knee osteoarthritis.用于治疗膝关节骨关节炎的截骨术。
Cochrane Database Syst Rev. 2014 Dec 13;2014(12):CD004019. doi: 10.1002/14651858.CD004019.pub4.
3
High tibial osteotomy.胫骨高位截骨术。
Curr Rev Musculoskelet Med. 2014 Dec;7(4):292-301. doi: 10.1007/s12178-014-9234-y.
4
Arthrosis of the knee in chronic anterior laxity.膝关节慢性前侧松弛症的骨关节炎。
Orthop Traumatol Surg Res. 2014 Feb;100(1):49-58. doi: 10.1016/j.otsr.2013.12.010. Epub 2014 Jan 21.
5
The effect of lateral opening wedge distal femoral osteotomy on medial knee opening: clinical and biomechanical factors.外侧开楔形股骨远端截骨术对内侧膝关节间隙的影响：临床和生物力学因素。
Knee Surg Sports Traumatol Arthrosc. 2014 Jul;22(7):1659-65. doi: 10.1007/s00167-013-2405-3. Epub 2013 Jan 25.
6
Combined ACL reconstruction and closing-wedge HTO for varus angulated ACL-deficient knees.前交叉韧带重建联合闭合楔形高位胫骨截骨术治疗内翻畸形的前交叉韧带缺失膝关节。
Knee Surg Sports Traumatol Arthrosc. 2013 Apr;21(4):934-41. doi: 10.1007/s00167-013-2400-8. Epub 2013 Jan 26.
7
Prospective outcomes of young and middle-aged adults with medial compartment osteoarthritis treated with a proximal tibial opening wedge osteotomy.年轻和中年内侧间室骨关节炎患者行胫骨近端楔形撑开截骨术的前瞻性结果。
Arthroscopy. 2012 Mar;28(3):354-64. doi: 10.1016/j.arthro.2011.08.310. Epub 2011 Dec 14.
8
Is correctional osteotomy crucial in primary varus knees undergoing anterior cruciate ligament reconstruction?初次内翻畸形膝关节行前交叉韧带重建时，矫正性截骨术是否关键？
Clin Orthop Relat Res. 2011 May;469(5):1421-6. doi: 10.1007/s11999-010-1584-1. Epub 2010 Sep 25.
9
The role of the oblique popliteal ligament and other structures in preventing knee hyperextension.腘斜韧带及其他结构在防止膝关节过伸中的作用。
Am J Sports Med. 2010 Mar;38(3):550-7. doi: 10.1177/0363546509348742. Epub 2010 Jan 23.
10
Patellar height and tibial slope after opening-wedge proximal tibial osteotomy: a prospective study.髌骨关节高度和胫骨倾斜角在胫骨近端楔形截骨术后的变化：一项前瞻性研究。
Am J Sports Med. 2010 Jan;38(1):160-70. doi: 10.1177/0363546509342701. Epub 2009 Sep 18.
Zotero 插件