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[股骨双髁V形截骨术]

[Diacondylar V osteotomy of the femur].

作者信息

Korisek G, Schneider H

出版信息

Unfallchirurgie. 1984 Jun;10(3):137-41. doi: 10.1007/BF02585803.

Abstract

V-shaped osteotomy is an excellent means to correct axis deviations in the frontal and sagittal plane. As diacondylar V-osteotomy, it is a technically very simple procedure because of the anatomic conditions found in the distal end of the femur, and it offers all of the positive biologic effects of an osteotomy carried out near to the joint. Thanks to the large spongious contact surfaces of the fragments, the diacondylar V-osteotomy heals very quickly under full loading within the walking plaster applied to the thigh. This intervention which is not very stressful for patients may be applied for axis corrections in the distal femur end from the moment of closing of the distal epiphyseal cartilage of the femur until high age of the patients.

摘要

V形截骨术是纠正额状面和矢状面轴线偏差的一种极佳方法。作为双髁V形截骨术,由于股骨远端的解剖条件,它在技术上是一个非常简单的手术,并且它具有在关节附近进行截骨术的所有积极生物学效应。得益于骨折块的大的松质骨接触面,双髁V形截骨术在应用于大腿的行走石膏固定下,在完全负重的情况下愈合非常快。这种对患者压力不大的干预措施,可在股骨远端骺软骨闭合后直至患者高龄时,用于股骨远端的轴线矫正。

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