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膝外翻双平面外侧开口楔形股骨远端截骨术技术

Technique for Biplanar Lateral Opening Wedge Distal Femoral Osteotomy in the Valgus Knee.

作者信息

Duerr Robert A, Harangody Sarah, Magnussen Robert A, Kaeding Christopher C, Flanigan David C

机构信息

Department of Orthopedic Surgery, Jameson Crane Sports Medicine Institute, The Ohio State University Wexner Medical Center, Columbus, Ohio, U.S.A.

出版信息

Arthrosc Tech. 2020 Sep 4;9(9):e1323-e1333. doi: 10.1016/j.eats.2020.05.013. eCollection 2020 Sep.

DOI:10.1016/j.eats.2020.05.013
PMID:33024673
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7528581/
Abstract

Valgus malalignment can be corrected with a biplanar lateral opening wedge distal femoral osteotomy (bLOWDFO) in patients with symptomatic lateral compartment disease. Advantages of a lateral opening wedge technique over the medial closing wedge technique include avoidance of vascular structures and theoretically better control of the amount of correction. The advantages of a bLOWDFO over a uniplanar osteotomy are that it creates a larger surface area for healing, and provides inherent stability to control the osteotomy intraoperatively. The purpose of this article is to present a reproducible technique for bLOWDFO and review the indications, preoperative planning, rationale, and clinical outcomes.

摘要

对于有症状的外侧间室疾病患者，外翻畸形可通过双平面外侧开口楔形股骨远端截骨术（bLOWDFO）进行矫正。外侧开口楔形技术相对于内侧闭合楔形技术的优势包括避免血管结构，并且理论上能更好地控制矫正量。bLOWDFO相对于单平面截骨术的优势在于它能创造更大的愈合表面积，并在术中提供内在稳定性以控制截骨。本文的目的是介绍一种可重复的bLOWDFO技术，并回顾其适应症、术前规划、原理和临床结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/69a9131fa6b9/gr17.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/257b7aea3f59/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/1574dcae8a2a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/90190bce1e01/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/673d5c2552e0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/73b289cd2f59/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/dc22ffc46ba3/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/7cbea4fcfded/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/a34c67d86afa/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/3f81e126de66/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/058b066d7930/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/d24aa18cc671/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/6f88a9741a8d/gr12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/9d84d4ef4bca/gr13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/6512f77b1ef2/gr14.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/a4b52f98718d/gr15.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/5be3a17b58fe/gr16.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7184/7528581/69a9131fa6b9/gr17.jpg

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Lateral Opening Wedge Distal Femoral Osteotomy for Lateral Compartment Arthrosis/Overload.
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PLoS One. 2024 Apr 18;19(4):e0296300. doi: 10.1371/journal.pone.0296300. eCollection 2024.
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Computer-aided Design of Distal Femoral Osteotomy for the Valgus Knee and Effect of Correction Angle on Joint Loading by Finite Element Analysis.计算机辅助设计的股骨远端截骨术治疗外翻膝畸形和有限元分析中矫正角度对关节载荷的影响。
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[Research progress of osteotomy around knee in the treatment of valgus knee osteoarthritis].[膝关节周围截骨术治疗膝外翻骨关节炎的研究进展]
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