膝关节骨软骨炎的混合固定。
Hybrid fixation in adult osteochondritis dissecans of the knee.
机构信息
Service de chirurgie orthopédique et traumatologie, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France.
Service de chirurgie orthopédique et traumatologie, hôpital André-Mignot, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France.
出版信息
Orthop Traumatol Surg Res. 2018 Apr;104(2):223-225. doi: 10.1016/j.otsr.2017.10.005. Epub 2017 Nov 15.
Osteochondritis dissecans progresses to osteoarthritis if integration of the fragment is not obtained. The prognosis of osteochondritis dissecans is more severe in adults, as spontaneous integration due to physeal closure does not occur. Hybrid fixation consists in combining screw fixation of the fragment with mosaicplasty through the fragment to promote integration into the native condyle. We describe this technique with reference to 17 patients.
如果未能实现骨片的融合，剥脱性骨软骨炎则会进展为骨关节炎。由于骺板闭合，成人的剥脱性骨软骨炎自行融合的可能性较小，因此其预后更差。混合固定是将骨片螺钉固定与骨片马赛克移植技术相结合，以促进骨片与原有髁融合。我们参考 17 例患者介绍了这种技术。
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