Aldinger G
Z Orthop Ihre Grenzgeb. 1981 Oct;119(5):516-20. doi: 10.1055/s-2008-1053327.
271 osteotomies near the knee joint were performed between 1968 and 1977 at the Orthopedic Clinic of Tübingen University. The article reports on the results obtained in 69 patients who had been osteotomized because of gonarthrosis, out of a total of 135 patients, the results being evaluated after an average period of 4.9 years following the operation. The majority of these cases represented severe gonarthrosis. Indication, aim, planning and execution of the osteotomies performed near the knee joint, are discussed. Whereas angle plates are required in supracondylous osteotomy, clamps are sufficient in high supratubercular osteotomy of the tibia. In most cases it will not be necessary to perform more complicated osteosyntheses. The reasons are explained. In two-third to three-quarters of the cases, subjective improvement of complaints improved walking performance and standing ability are achieved. The relatively high incidence of complications is discussed.
1968年至1977年间，图宾根大学骨科诊所对膝关节附近进行了271例截骨手术。本文报道了135例患者中69例因膝关节病接受截骨手术的结果，术后平均4.9年对结果进行评估。这些病例大多数为重度膝关节病。文中讨论了膝关节附近截骨手术的适应症、目的、规划和实施。髁上截骨术需要使用角钢板，而胫骨高位结节上截骨术使用夹具就足够了。在大多数情况下，无需进行更复杂的骨接合术。文中解释了原因。在三分之二至四分之三的病例中，主诉得到主观改善，行走能力和站立能力得到提高。文中还讨论了相对较高的并发症发生率。
