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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

Anterior open-wedge hepta-lateral osteotomy for severe post-traumatic genu recurvatum: a case report and review of the literature.

作者信息

Boonrod Artit, Sukhonthamarn Kamolsak, Apiwatanakul Punyawat

机构信息

Department of Orthopaedics, Faculty of Medicine, Khon Kaen University, Khon Kaen, 40002, Thailand.

出版信息

Eur J Orthop Surg Traumatol. 2019 Feb;29(2):487-491. doi: 10.1007/s00590-018-2300-1. Epub 2018 Aug 24.

Abstract

Severe post-traumatic genu recurvatum is an uncommon condition in orthopedics. The typical symptoms are pain, weakness, and instability. For severe and symptomatic genu recurvatum patient, the surgical correction should be performed to relieve symptoms and prevent progression of deformity. Many procedures were proposed to treat this condition, but there are some complications such as patella baja, secondary deformity, skin complication, and inadequate correction. Most of the procedures need an additional procedure such as tibial tuberosity transfer to correct the patellar height. In this case, the authors report a new technique in which the osteotomy was performed near the center of rotation angulation. And, the correction did not influence the patellar height.

摘要

严重创伤后膝反屈在骨科领域是一种罕见病症。典型症状为疼痛、无力和不稳定。对于严重且有症状的膝反屈患者,应进行手术矫正以缓解症状并防止畸形进展。许多手术方法被提出用于治疗这种病症,但存在一些并发症,如低位髌骨、继发性畸形、皮肤并发症和矫正不足等。大多数手术方法需要额外的手术,如胫骨结节移位来矫正髌骨高度。在本病例中,作者报告了一种新技术,即在旋转角中心附近进行截骨术。而且,这种矫正不会影响髌骨高度。

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