股骨远端内侧闭合楔形截骨术
Medial Closing Wedge Distal Femoral Osteotomy.
作者信息
Duethman Nicholas C, Bernard Christopher D, Camp Christopher L, Krych Aaron J, Stuart Michael J
机构信息
Department of Orthopedic Surgery, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA; Department of Sports Medicine, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA.
Department of Orthopedic Surgery, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA; Department of Sports Medicine, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA.
出版信息
Clin Sports Med. 2019 Jul;38(3):361-373. doi: 10.1016/j.csm.2019.02.005.
The main indication for performing a distal femoral osteotomy is valgus malalignment of the knee joint. The ideal candidates are young and active individuals with isolated lateral compartment arthritis. The goal of the procedure is to create a neutral mechanical axis of the limb to relieve pain and preserve the knee joint. The amount of correction is calculated from a preoperative, high-quality, weight-bearing radiograph from the hip to ankle. This technically challenging operation is a viable option for patients with valgus malalignment because early survivorship is strong and patient-reported outcome scores are significantly improved.
进行股骨远端截骨术的主要指征是膝关节外翻畸形。理想的候选者是患有单纯外侧间室关节炎的年轻且活跃的个体。该手术的目标是创建肢体的中立机械轴，以缓解疼痛并保留膝关节。矫正量根据术前从髋部到踝部的高质量负重X线片计算得出。对于外翻畸形患者而言，这项技术上具有挑战性的手术是一个可行的选择，因为早期生存率较高，且患者报告的结局评分有显著改善。
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