Department of Orthopedic Surgery and Rehabilitation, University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 39216, USA.
Medicina (Kaunas). 2021 Sep 10;57(9):951. doi: 10.3390/medicina57090951.
Diaphyseal malunion poses a great challenge for the orthopedic surgeon, and an inundation of morbidity for the patient. Diaphyseal malunion can cause altered gait, adjacent joint osteoarthritis and body dissatisfaction. This problem is fraught with complications without surgical intervention. There is a myriad of options for the management of a diaphyseal malunion. The clamshell osteotomy was engendered to ameliorate the difficulty in managing this issue. This technique is a viable option to correct diaphyseal malunion about the femur and tibia. Recently, the indications of a clamshell osteotomy have been expanded to function as a derotational or shortening osteotomy.
骨干愈合不良给矫形外科医生带来了巨大的挑战，也给患者带来了大量的发病风险。骨干愈合不良可导致步态改变、邻近关节骨关节炎和身体不满。如果不进行手术干预，这个问题会带来很多并发症。对于骨干愈合不良的处理有很多选择。贝壳式切开术的产生是为了改善处理这个问题的难度。这种技术是纠正股骨和胫骨骨干愈合不良的可行选择。最近，贝壳式切开术的适应证已扩大为旋转或缩短切开术。
