Hazratwala Kaushik, Matthews Brent, Wilkinson Matthew, Barroso-Rosa Sergio
The Orthopaedic Research Institute of Queensland (ORIQL), Townsville, Queensland, Australia.
Arthroplast Today. 2016 Jan 12;2(1):26-36. doi: 10.1016/j.artd.2015.11.002. eCollection 2016 Mar.
Multiple acceptable options are available for the correction of distal femoral deformity associated with knee arthritis. The treatment modality should be chosen based on the extent of deformity and attention to preservation of the collateral ligaments. Surgical options range from osteotomy alone, arthroplasty with intra-articular correction, or arthroplasty with extra-articular correction. Different implant choices and fixation methods for the osteotomy possess advantages and disadvantages which need to be considered carefully. In addition to discussing principles of management based on current literature, this article includes a case report using a previously undescribed technique using corrective osteotomy, intramedullary nail fixation, and total knee arthroplasty with computer navigation.
对于与膝关节关节炎相关的股骨远端畸形的矫正，有多种可接受的选择。治疗方式应根据畸形程度并注重保留侧副韧带来选择。手术选择范围从单纯截骨术、关节内矫正的关节成形术，到关节外矫正的关节成形术。截骨术的不同植入物选择和固定方法都有优缺点，需要仔细考虑。除了根据当前文献讨论治疗原则外，本文还包括一个病例报告，该病例使用了一种先前未描述的技术，即矫正截骨术、髓内钉固定以及计算机导航下的全膝关节置换术。
