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成人双侧膝内翻畸形经内侧开放楔形胫骨高位截骨术矫正,无需内固定。

Bilateral genu varum deformity correction in an adult by medial opening-wedge high tibial osteotomy without internal fixation.

机构信息

Orthopaedics and Joint Replcement Surgery, Indraprastha Apollo Hospitals, New Delhi, Delhi, India

Orthopaedics and Joint Replcement Surgery, Indraprastha Apollo Hospitals, New Delhi, Delhi, India.

出版信息

BMJ Case Rep. 2022 Jun 1;15(6):e250044. doi: 10.1136/bcr-2022-250044.

Abstract

A young adult man in 20s presented with bow leg deformity of both the knees, since childhood and bilateral knee pain for the last 4 years. Plain radiographs of both the knees confirmed bilateral genu varum deformity, more on the right side (16.2°) as compared with left (12.3°). He was managed surgically by a single-stage bilateral medial opening wedge high tibial osteotomy, using a synthetic bone substitute of a tri calcium phosphate. After the healing of osteotomies at 3 months, the patient was pain free and walked comfortably with normal lower limb alignment.

摘要

一位 20 多岁的年轻男性,自幼双膝呈弓形腿畸形,且双侧膝关节疼痛已有 4 年。双膝的 X 线片证实双侧膝内翻畸形,右侧(16.2°)比左侧(12.3°)更严重。他接受了单阶段双侧内侧开放楔形胫骨高位截骨术治疗,使用三钙磷酸盐合成骨替代物。截骨愈合 3 个月后,患者疼痛消失,下肢对线正常,行走舒适。

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