Mont M A, Alexander N, Krackow K A, Hungerford D S
Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Orthop Clin North Am. 1994 Jul;25(3):515-25.
Total knee arthroplasty performed after failed high tibial osteotomy is an important subgroup encompassing close to 10% of replacements performed and may be difficult in 20% to 40% of these patients. The problems in this group can be different from those encountered with primary of revision total knee arthroplasty. The authors present a review of the literature on this subject including assessments of variables affecting outcome. Preoperative clinical and radiographic factors to be considered are discussed and surgical technical factors are delineated.
在高位胫骨截骨术失败后进行的全膝关节置换术是一个重要的亚组，占所有置换手术的近10%，其中20%至40%的患者手术可能会有困难。该组患者的问题可能与初次或翻修全膝关节置换术所遇到的问题不同。作者对该主题的文献进行了综述，包括对影响预后的变量的评估。讨论了术前应考虑的临床和影像学因素，并阐述了手术技术因素。
