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BMJ Case Rep. 2022 Jun 1;15(6):e250044. doi: 10.1136/bcr-2022-250044.
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[Genu varum osteoarthritis: treatment with tibial valgus osteotomy].[膝内翻骨关节炎：胫骨外翻截骨术治疗]
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本文引用的文献

1
Simultaneous bilateral opening-wedge high tibial osteotomy with structural allograft impaction results in excellent early recovery and pain reduction similar unilateral osteotomy.同期双侧开口楔形胫骨高位截骨术结合结构性同种异体骨嵌压植骨可获得与单侧截骨术相似的早期恢复和疼痛减轻效果。
Knee. 2021 Jun;30:283-290. doi: 10.1016/j.knee.2021.04.016. Epub 2021 May 11.
2
Safety of simultaneous versus staged bilateral opening-wedge high tibial osteotomy with locked plate and immediate weight bearing.同期与分期双侧开口楔形胫骨高位截骨术联合锁定钢板内固定并即刻负重的安全性比较。
Int Orthop. 2020 Jan;44(1):109-117. doi: 10.1007/s00264-019-04385-z. Epub 2019 Aug 5.
3
Nature vs nurture in knee osteoarthritis - the importance of age, sex and body mass index.先天与后天因素在膝骨关节炎中的作用——年龄、性别和体重指数的重要性。
Osteoarthritis Cartilage. 2019 Apr;27(4):586-592. doi: 10.1016/j.joca.2018.12.018. Epub 2019 Jan 8.
4
Failed high tibial osteotomy: A joint preserving alternative to total knee arthroplasty.高位胫骨截骨术失败：全膝关节置换术的一种保关节替代方法。
Orthop Traumatol Surg Res. 2019 Feb;105(1):85-88. doi: 10.1016/j.otsr.2018.11.004. Epub 2018 Dec 5.
5
A critical appraisal of medial open wedge high tibial osteotomy for knee osteoarthritis.对膝关节骨关节炎内侧开放性楔形高位胫骨截骨术的批判性评价。
J Clin Orthop Trauma. 2018 Oct-Dec;9(4):300-306. doi: 10.1016/j.jcot.2018.02.004. Epub 2018 Feb 10.
6
Unicompartmental knee arthroplasty, is it superior to high tibial osteotomy in treating unicompartmental osteoarthritis? A meta-analysis and systemic review.单髁膝关节置换术在治疗单髁骨关节炎方面是否优于高位胫骨截骨术？一项荟萃分析和系统评价。
J Orthop Surg Res. 2017 Mar 28;12(1):50. doi: 10.1186/s13018-017-0552-9.
7
Prospective study of the anterior cruciate ligament reconstruction associated with high tibial opening wedge osteotomy in knee arthritis associated with instability.膝关节不稳型膝关节炎合并高位胫骨开放楔形截骨的前交叉韧带重建前瞻性研究
J Clin Orthop Trauma. 2016 Oct-Dec;7(4):265-271. doi: 10.1016/j.jcot.2016.06.010. Epub 2016 Jun 24.
8
Non-operative management of osteoarthritis of the knee joint.膝关节骨关节炎的非手术治疗
J Clin Orthop Trauma. 2016 Jul-Sep;7(3):170-6. doi: 10.1016/j.jcot.2016.05.005. Epub 2016 Jun 28.
9
A retrospective analysis of medial open wedge high tibial osteotomy for varus osteoarthritic knee.内翻型膝骨关节炎的内侧开放楔形高位胫骨截骨术回顾性分析
Indian J Orthop. 2013 Mar;47(2):215. doi: 10.4103/0019-5413.108936.
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Total knee arthroplasty after high tibial osteotomy: no differences between medial and lateral osteotomy approaches.胫骨高位截骨术后全膝关节置换：内侧和外侧截骨入路之间无差异。
Clin Orthop Relat Res. 2014 Jan;472(1):105-10. doi: 10.1007/s11999-013-3040-5.

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.

DOI:10.1136/bcr-2022-250044
PMID:35649623
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9161078/
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。