Lecuire F, Lerat J L, Bousquet G, Dejour H, Trillat A
Rev Chir Orthop Reparatrice Appar Mot. 1980 Mar;66(2):95-103.
50 cases of genu recurvatum were classified into three types: osseous (malunion, epiphysiodesis), capsular and ligamentous (congenital hyper-extension, sequelae of old ligament rupture) and combination of the two types. The author's have analysed the results of 44 surgical procedures. The main procedure practised has been an opening wedge osteotomy of the upper end of the tibia above the level of the tibial tubercle with a graft to fill the gap. It is important to avoid distal displacement of the patella by detachment of the tibial tubercle and reattachment more proximally at the end of the surgical procedure. Osteotomy is always indicated but should be combined with a capsular repair or combined types. The results are satisfactory especially in cases due to premature closure of the growth plate.
50例膝反屈患者被分为三种类型：骨性（骨不连、骨骺固定）、关节囊和韧带性（先天性过度伸展、陈旧性韧带断裂后遗症）以及两种类型的组合。作者分析了44例手术的结果。主要实施的手术是在胫骨结节水平以上对胫骨上端进行开放楔形截骨，并植入移植物以填充间隙。在手术结束时，避免通过胫骨结节的分离和更靠近近端的重新附着导致髌骨远端移位很重要。截骨术总是必要的，但应与关节囊修复或联合类型相结合。结果令人满意，尤其是在因生长板过早闭合导致的病例中。
