Ivey M, Cantrell J S
Orthopedics. 1985 Aug;8(8):1009-13. doi: 10.3928/0147-7447-19850801-12.
Fractures associated with valgus producing high tibial osteotomy are generally reported as operative complications which involve the medial proximal segment. Factors associated with this fracture at the time of surgery include forceful closure of the osteotomy after an inadequately perforated medial cortex, a proximal segment being less than 1.5cm in thickness, and osteotomes entering the medial compartment due to excessive bone loss. Three patients are reported with postoperative fracture of the lateral tibial plateau after tibial osteotomy. One patient's fracture was clearly due to trauma and the other two occurred in patients with a thin proximal segment.
与外翻相关的高位胫骨截骨术相关骨折通常被报告为涉及近端内侧段的手术并发症。手术时与这种骨折相关的因素包括内侧皮质钻孔不足后强行闭合截骨、近端段厚度小于1.5厘米以及由于骨质过度丢失骨刀进入内侧间室。报告了3例胫骨截骨术后外侧胫骨平台骨折的患者。1例患者的骨折显然是由于外伤，另外2例发生在近端段较薄的患者中。
