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单纯股骨远端和胫骨高位开放楔形截骨术矫正膝内翻伴后倾畸形:1 例报告。

Single-Stage Correction of Genu Valgum Recurvatum by Distal Femoral and High Tibial Opening Wedge Osteotomies: A Case Report.

机构信息

University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

Department of Orthopaedic Surgery, UPMC, University of Pittsburgh, Pittsburgh, Pennsylvania.

出版信息

JBJS Case Connect. 2023 Jun 23;13(2). doi: e22.00607. eCollection 2023 Apr 1.

DOI:10.2106/JBJS.CC.22.00607
PMID:37352377
Abstract

CASE

A 32-year-old woman with genu valgum recurvatum presented to clinic complaining of long-standing anterior knee pain. Radiographs demonstrated a 13° anterior tibial slope and 15° valgus malalignment. She underwent a single-stage 2-level osteotomy at the distal femur and proximal tibia to simultaneously correct genu valgum and recurvatum. This procedure achieved precise correction in both planes. At 1 year, the patient was pain-free and ambulated without restriction.

CONCLUSION

This procedure should be considered among the available surgical options when treating genu valgum recurvatum because it produced excellent results for the studied patient.

摘要

病例

一名 32 岁女性,存在膝内翻反屈畸形,因长期前膝疼痛就诊。X 线片显示胫骨前倾角为 13°,外翻角为 15°。她接受了一期股骨远端和胫骨近端 2 级截骨术,同时矫正膝内翻和反屈畸形。该手术在两个平面上均实现了精确矫正。术后 1 年,患者无疼痛,可自由行走。

结论

对于该患者,这种手术方法应作为治疗膝内翻反屈畸形的一种有效手术选择,因为它取得了很好的效果。

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