Vicenzi G, Moroni A, Ceccarelli F, Binazzi R, Vaccari V
Ital J Orthop Traumatol. 1986 Dec;12(4):427-32.
The authors analyse the results of 23 cases of high tibial osteotomy for genu recurvatum in adults performed at the Rizzoli Orthopaedic Institute from 1968 to 1983. The osteotomy is at the supratuberosity level. After detaching the patella tendon an anterior bone wedge is inserted and the tendon reinserted at a higher level. This operation has produced better results than other surgical techniques. It is indicated in the osseous type of recurvatum or in the combined type in which the osseous component is predominant. In the combined type with a capsulo-ligamentous prevalence, the poor results obtained with osteotomy alone indicate the need for combining the operation with a plastic reconstruction of the posterior capsulo-ligamentous structures.
作者分析了1968年至1983年在里佐利骨科研究所对23例成人膝反屈患者实施高位胫骨截骨术的结果。截骨部位在胫骨结节上缘水平。在切断髌腱后，插入一块前方骨楔，并将肌腱重新附着于更高位置。该手术比其他手术技术产生了更好的效果。它适用于骨性膝反屈类型或骨成分占主导的混合型。在以关节囊韧带为主的混合型中，单纯截骨术效果不佳，这表明需要将该手术与后方关节囊韧带结构的整形重建相结合。
