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胫骨远端结节内侧开放楔形截骨术后胫骨干骨折:病例报告

Tibial shaft fracture after medial open-wedge distal tibial tuberosity osteotomy: A case report.

作者信息

Kuwashima Umito, Itoh Masafumi, Itou Junya, Okazaki Ken

机构信息

Department of Orthopedic Surgery Tokyo Women's Medical University Shinjuku-ku Japan.

出版信息

Clin Case Rep. 2022 Apr 21;10(4):e05697. doi: 10.1002/ccr3.5697. eCollection 2022 Apr.

DOI:10.1002/ccr3.5697
PMID:35474977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9021932/
Abstract

We report a case of tibial shaft fracture after open-wedge distal tibial tuberosity osteotomy (OWDTO). The use of a lag screw for a lateral hinge fracture in OWDTO requires careful postoperative rehabilitation and follow-up. We discuss concerns related to the mechanical strength at the osteotomy site after OWDTO to prevent fracture.

摘要

我们报告一例胫骨远端结节开放楔形截骨术(OWDTO)后发生的胫骨干骨折。在OWDTO中,使用拉力螺钉治疗外侧铰链骨折需要谨慎的术后康复和随访。我们讨论了与OWDTO后截骨部位机械强度相关的问题,以预防骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/e3993a33b4c8/CCR3-10-e05697-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/373d4bec051f/CCR3-10-e05697-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/026c483d79d7/CCR3-10-e05697-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/0b350071c4ef/CCR3-10-e05697-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/b95c60c44a54/CCR3-10-e05697-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/fda3871e6739/CCR3-10-e05697-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/1aed6c7ea6a2/CCR3-10-e05697-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/e3993a33b4c8/CCR3-10-e05697-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/373d4bec051f/CCR3-10-e05697-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/026c483d79d7/CCR3-10-e05697-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/0b350071c4ef/CCR3-10-e05697-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/1aed6c7ea6a2/CCR3-10-e05697-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3117/9021932/e3993a33b4c8/CCR3-10-e05697-g002.jpg

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引用本文的文献

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本文引用的文献

1
Monocortical fixation for locking plate distal screws does not impair mechanical properties in open-wedge high tibial osteotomy.用于锁定钢板远端螺钉的单皮质固定不会损害开放性楔形高位胫骨截骨术的力学性能。
BMC Musculoskelet Disord. 2021 Feb 8;22(1):157. doi: 10.1186/s12891-021-03999-y.
2
The effect of distal tibial tuberosity high tibial osteotomy on postoperative patellar height and patellofemoral joint degeneration.胫骨远端结节高位胫骨截骨术对术后髌腱长度及髌股关节退变的影响
J Orthop Surg Res. 2020 Oct 9;15(1):466. doi: 10.1186/s13018-020-01996-w.
3
Distal tibial tubercle osteotomy is superior to the proximal one for progression of patellofemoral osteoarthritis in medial opening wedge high tibial osteotomy.
胫骨结节远侧截骨术优于胫骨近端截骨术,适用于内侧开放楔形胫骨高位截骨术治疗髌股关节炎的进展。
Knee Surg Sports Traumatol Arthrosc. 2020 Oct;28(10):3270-3278. doi: 10.1007/s00167-019-05836-1. Epub 2019 Dec 24.
4
Deep peroneal nerve injury during plate fixation for medial open-wedge high tibial osteotomy: A case report and cadaveric study.内侧开放楔形高位胫骨截骨钢板固定术中腓深神经损伤:1例病例报告及尸体研究
Clin Case Rep. 2019 Oct 9;7(11):2225-2230. doi: 10.1002/ccr3.2451. eCollection 2019 Nov.
5
Distal Tibial Tuberosity Arc Osteotomy in Open-Wedge Proximal Tibial Osteotomy to Prevent Patella Infra.开放楔形胫骨近端截骨术中的胫骨远端结节弧形截骨术预防髌骨低位。
Arthrosc Tech. 2019 Jun 2;8(6):e655-e662. doi: 10.1016/j.eats.2019.02.011. eCollection 2019 Jun.
6
Distal tuberosity osteotomy in open-wedge high tibial osteotomy does not exacerbate patellofemoral osteoarthritis on arthroscopic evaluation.关节镜评估显示,开放式楔形胫骨高位截骨术中的远端干骺端截骨术不会加重髌股关节炎。
Knee Surg Sports Traumatol Arthrosc. 2020 Jun;28(6):1750-1756. doi: 10.1007/s00167-019-05596-y. Epub 2019 Jun 28.
7
Deep peroneal nerve has a potential risk of injury during open-wedge high tibial osteotomy.在开放式楔形胫骨高位截骨术中,腓深神经有受伤的潜在风险。
Knee Surg Sports Traumatol Arthrosc. 2020 May;28(5):1372-1379. doi: 10.1007/s00167-019-05445-y. Epub 2019 Mar 5.
8
Biplane opening wedge high tibial osteotomy with a distal tuberosity osteotomy, radiological and clinical analysis with minimum follow-up of 2 years.双平面开放楔形高位胫骨截骨术联合远侧结节截骨术:2年最小随访期的影像学与临床分析
J Exp Orthop. 2019 Feb 28;6(1):10. doi: 10.1186/s40634-019-0176-6.
9
Open Wedge High Tibial Osteotomy with Distal Tubercle Osteotomy Lessens Change in Patellar Position.采用远端结节截骨的开放性楔形高位胫骨截骨术可减少髌骨关节位置变化。
Biomed Res Int. 2017;2017:4636809. doi: 10.1155/2017/4636809. Epub 2017 Jul 18.
10
Patellofemoral Osteoarthritis Progression and Alignment Changes after Open-Wedge High Tibial Osteotomy Do Not Affect Clinical Outcomes at Mid-term Follow-up.髌股关节炎在接受开放式楔形胫骨高位截骨术后的进展和对线改变不会影响中期随访的临床结果。
Arthroscopy. 2017 Oct;33(10):1832-1839. doi: 10.1016/j.arthro.2017.04.007. Epub 2017 Jun 19.