Roessler Philip P, Getgood Alan
Fowler Kennedy Sports Medicine Clinic, Western University, 1151 Richmond Street, London, Ontario N6A 3K7, Canada.
Fowler Kennedy Sports Medicine Clinic, Western University, 1151 Richmond Street, London, Ontario N6A 3K7, Canada.
Clin Sports Med. 2019 Jul;38(3):435-449. doi: 10.1016/j.csm.2019.02.012.
Chronic valgus instability with concomitant valgus malalignment is a challenging diagnosis that cannot be successfully treated with ligament surgery alone. Hyperextension valgus thrust may be a symptom of this configuration, expressing the need for thorough diagnosis and treatment. The present article will help to understand pathoanatomy and mechanisms of chronic valgus instability in combination with malalignment and provide a description of treatment techniques, in particular medial closing wedge distal femoral varus osteotomy (MCWDFVO) and lateral opening wedge high tibial osteotomy (LOWHTO), and their indications to deal with both issues simultaneously.
伴有外翻畸形的慢性外翻不稳定是一种具有挑战性的诊断，仅靠韧带手术无法成功治疗。过伸外翻推力可能是这种情况的一种症状，这表明需要进行全面的诊断和治疗。本文将有助于理解合并畸形的慢性外翻不稳定的病理解剖和机制，并描述治疗技术，特别是股骨远端内侧闭合楔形内翻截骨术（MCWDFVO）和胫骨近端外侧开放楔形截骨术（LOWHTO），以及它们同时处理这两个问题的适应症。
