Iobst Christopher
Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA.
Strategies Trauma Limb Reconstr. 2020 Jan-Apr;15(1):47-49. doi: 10.5005/jp-journals-10080-1458.
The anterior approach to a tibial osteotomy commonly employs a small incision and multiple drill holes followed by completion with an osteotome. Potential complications are damage to the anterior tibial periosteum and posterior neurovascular structures.
We describe an alternative method using two small incisions, which avoids elevation of the anterior tibial periosteum and directs the osteotome away from posterior neurovascular structures.
This technique has been successfully performed on 15 consecutive tibias, with no neurovascular complications or skin healing issues.
This tibial osteotomy technique can be performed quickly and safely using a minimally invasive approach as an alternative to the traditional anterior approach.
Iobst C. An Alternative Tibial Osteotomy Technique. Strategies Trauma Limb Reconstr 2020;15(1):47-49.
胫骨截骨术的前路通常采用小切口和多个钻孔,随后用骨刀完成操作。潜在的并发症是胫骨前骨膜和后神经血管结构的损伤。
我们描述了一种使用两个小切口的替代方法,该方法避免了胫骨前骨膜的掀起,并使骨刀远离后神经血管结构。
该技术已在连续15例胫骨上成功实施,无神经血管并发症或皮肤愈合问题。
这种胫骨截骨术技术可以通过微创方法快速、安全地进行,作为传统前路方法的替代方案。
约布斯特C。一种替代的胫骨截骨术技术。创伤肢体重建策略2020;15(1):47-49。