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膝关节区域截骨术“应力矫正”的基本生物力学(作者译)

[Basic biomechanics of "stress-correction" by osteotomies in the region of the knee joint (author's transl)].

作者信息

Kummer B

出版信息

Z Orthop Ihre Grenzgeb. 1977 Dec;115(6):923-8.

PMID:602382
Abstract

A recent suggestion by Izadpanah and Keönch-Fraknóy (1977) for the correction of the stressing of the knee-joint, is an epiarticular transpositary osteotomy with either a medial or lateral displacement of the condyle block, thus causing neither valgisation nor varisation. With the aid of compression tests on specimens and a photoelastic test, the authors try to prove the effect of this osteotomy. The tests give a false positive result. The submitted investigation deals with basics of correction osteotomies at the knee-joint. It shows that the effect of Izadpanah and Keönch-Fraknóy osteotomy is essentially slighter that the authors think and that furthermore, Maquet's subarticular rotation osteotomy is so far the best method available for centralisation of the force resultant in the joint.

摘要

伊扎德帕纳和凯翁奇 - 弗拉克诺伊(1977年)最近提出的一种矫正膝关节应力的方法,是一种关节外移位截骨术,使髁块向内侧或外侧移位,从而既不导致外翻也不导致内翻。作者借助对标本的压缩试验和光弹性试验,试图证明这种截骨术的效果。试验得出了假阳性结果。提交的这项研究探讨了膝关节矫正截骨术的基础。研究表明,伊扎德帕纳和凯翁奇 - 弗拉克诺伊截骨术的效果实际上比作者认为的要小得多,而且,到目前为止,马凯特的关节下旋转截骨术是使关节合力集中的最佳可用方法。

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