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使用关节式张紧装置进行内侧双平面闭合楔形股骨远端截骨术以控制截骨闭合。

Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure.

作者信息

Ruzbarsky Joseph J, Arner Justin W, Ridley Taylor J, Cooper Joseph D, Hackett Thomas R

机构信息

Steadman Clinic and Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

出版信息

Arthrosc Tech. 2020 Dec 19;10(1):e79-e84. doi: 10.1016/j.eats.2020.09.010. eCollection 2021 Jan.

DOI:10.1016/j.eats.2020.09.010
PMID:33532212
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7823079/
Abstract

Isolated lateral compartment arthritis or focal chondral defects in the setting of genu valgum in young, active individuals can be treated with a varus-producing distal femoral osteotomy with or without cartilage treatment. Both medial closing-wedge and lateral opening-wedge techniques have been described, with neither demonstrating clear superiority. The objective of this Technical Note is to describe a technique of biplanar medial opening-wedge with controlled reduction using an articulated tensioning device to achieve a safe, reproducible result.

摘要

在年轻、活跃的个体中，对于伴有膝外翻的单纯外侧间室关节炎或局灶性软骨缺损，可采用或不联合软骨治疗的股骨远端内翻截骨术进行治疗。内侧闭合楔形截骨术和外侧开放楔形截骨术均有报道，但均未显示出明显优势。本技术说明的目的是描述一种双平面内侧开放楔形截骨术，使用关节张紧装置进行可控复位，以获得安全、可重复的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/3a3b9e60dea6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/3d39b071f3d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/f43e73422e5c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/f93b8ab139ba/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/ea82011f9566/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/2bc1a627fcb7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/6e380efcceea/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/3a3b9e60dea6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/3d39b071f3d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/f43e73422e5c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/f93b8ab139ba/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/ea82011f9566/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/2bc1a627fcb7/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/6e380efcceea/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c67/7823079/3a3b9e60dea6/gr7.jpg

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1
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本文引用的文献

1
Ten-year survival rate of 89% after distal femoral osteotomy surgery for lateral compartment osteoarthritis of the knee.膝关节外侧间室骨关节炎行股骨远端截骨术后的10年生存率为89%。
Knee Surg Sports Traumatol Arthrosc. 2021 Feb;29(2):594-599. doi: 10.1007/s00167-020-05988-5. Epub 2020 Apr 13.
2
Opening-wedge osteotomies of the distal femur: minor advantages for a biplanar compared to a uniplanar technique.远端股骨的楔形骨切开术：与单平面技术相比，双平面技术有一些优势。
Knee Surg Sports Traumatol Arthrosc. 2019 Jul;27(7):2375-2384. doi: 10.1007/s00167-018-5332-5. Epub 2018 Dec 13.
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Distal Femoral Varus Osteotomy for the Management of Valgus Deformity of the Knee.
股骨远端内翻截骨术治疗膝关节外翻畸形。
J Am Acad Orthop Surg. 2018 May 1;26(9):313-324. doi: 10.5435/JAAOS-D-16-00179.
4
Medial Closing-Wedge Distal Femoral Osteotomy for Genu Valgum With Lateral Compartment Disease.用于治疗伴有外侧间室病变的膝外翻的内侧闭合楔形股骨远端截骨术
Arthrosc Tech. 2016 Nov 28;5(6):e1357-e1366. doi: 10.1016/j.eats.2016.08.009. eCollection 2016 Dec.
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Opening- and Closing-Wedge Distal Femoral Osteotomy: A Systematic Review of Outcomes for Isolated Lateral Compartment Osteoarthritis.开放式和闭合式楔形股骨远端截骨术：孤立性外侧间室骨关节炎的结果的系统评价。
Orthop J Sports Med. 2016 Jun 6;4(6):2325967116649901. doi: 10.1177/2325967116649901. eCollection 2016 Jun.
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Distal Femoral Osteotomy for the Valgus Knee: Medial Closing Wedge Versus Lateral Opening Wedge: A Systematic Review.股骨远端截骨术治疗膝外翻：内侧闭合楔形截骨与外侧开口楔形截骨的系统评价
Arthroscopy. 2016 Oct;32(10):2141-2147. doi: 10.1016/j.arthro.2016.04.010. Epub 2016 Jun 3.
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Distal femoral varus osteotomy for valgus deformity of the knee.股骨远端内翻截骨术治疗膝关节外翻畸形
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