McDermott A G, Finklestein J A, Farine I, Boynton E L, MacIntosh D L, Gross A
Combined Orthopaedic Unit, Toronto General Hospital, Ontario, Canada.
J Bone Joint Surg Am. 1988 Jan;70(1):110-6.
Twenty-four patients who had degenerative arthritis of the lateral compartment of the knee that was associated with a valgus deformity and a superolateral tilt of the joint line were treated by distal femoral varus osteotomy. A surgical technique that was designed to produce a horizontal joint line and a tibiofemoral angle of zero degrees is described. At an average length of follow-up of four years, twenty-two of twenty-four patients had a successful result as judged by our protocol for evaluation. One osteotomy had to be revised for failure of fixation, and one patient had a pulmonary embolism that had a satisfactory outcome after the administration of anticoagulants. One patient required manipulation of the knee at six months. The simple surgical technique that we used was effective in realigning the femoral with the tibial axis in patients who had a valgus deformity of the knee, a superolateral tilt of the joint line, and osteoarthritis of the lateral compartment.
24例患有膝关节外侧间室退行性关节炎并伴有外翻畸形和关节线外上倾斜的患者接受了股骨远端内翻截骨术治疗。本文描述了一种旨在使关节线水平且胫股角为零度的手术技术。在平均四年的随访期内，根据我们的评估方案判断，24例患者中有22例取得了成功的结果。1例截骨术因固定失败而需翻修，1例患者发生肺栓塞，在给予抗凝剂后结果满意。1例患者在六个月时需要进行膝关节手法治疗。我们所采用的简单手术技术对于膝关节外翻畸形、关节线外上倾斜以及外侧间室骨关节炎患者的股骨与胫骨轴线重新对齐有效。
