[使用对侧TomoFix®钢板行股骨远端外侧延长截骨术]
[Extension osteotomy of the lateral distal femur using the contralateral TomoFix® plate].
作者信息
Ploeger Milena M, Gathen Martin, Koob Sebastian, Wimmer Matthias D, Placzek Richard
机构信息
Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland.
出版信息
Oper Orthop Traumatol. 2022 Apr;34(2):141-152. doi: 10.1007/s00064-021-00740-9. Epub 2021 Dec 6.
OBJECTIVE
Supracondylar distal femoral osteotomy. Fixation with the contralateral TomoFix® (Fa. DePuy Synthes, Oberdorf, Switzerland) lateral distal femur plate. Use of the laterally reversed plate to improve the reconstruction of the sagittal anatomical axis of the leg.
INDICATIONS
To correct knee flexion contractures with a deficiency of extension >20° at the age of 10 years.
CONTRAINDICATIONS
Surgical site infections or tumors.
SURGICAL TECHNIQUE
Ventral closed wedge osteotomy of the distal femur. Implantation of the locking compression TomoFix® lateral distal femur plate.
POSTOPERATIVE MANAGEMENT
Full weight bearing.
RESULTS
In all, 16 distal femoral osteotomies were performed in 9 patients. All patients had knee flexion contraction due to neurological disease. Patients with cerebral palsy showed a better GMFCS (gross motor function classification scale) level after surgery. Hardware was removed after 11.5 months (range: 9-18 months).
目的
股骨远端髁上截骨术。采用对侧TomoFix®（德普伊辛迪思公司，瑞士奥伯多夫）股骨远端外侧钢板固定。使用外侧翻转钢板改善小腿矢状面解剖轴的重建。
适应症
矫正10岁时伸直不足>20°的膝关节屈曲挛缩。
禁忌症
手术部位感染或肿瘤。
手术技术
股骨远端腹侧闭合楔形截骨术。植入锁定加压TomoFix®股骨远端外侧钢板。
术后处理
完全负重。
结果
9例患者共进行了16次股骨远端截骨术。所有患者均因神经疾病导致膝关节屈曲挛缩。脑瘫患者术后GMFCS（粗大运动功能分类量表）水平改善。术后11.5个月（范围：9 - 18个月）取出内固定物。
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