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分次钻孔——一种膝关节楔形截骨术的技术。

Fractioned drilling--a technique for wedge osteotomy of the knee.

作者信息

Sabo D, Flierl S, Thomsen M, Cotta H

机构信息

Stiftung Orthopädische Universitätsklinik Heidelberg, Germany.

出版信息

Int Orthop. 1995;19(6):352-4. doi: 10.1007/BF00178347.

DOI:10.1007/BF00178347
PMID:8567150
Abstract

High tibial wedge osteotomies are often followed by transient neurological complications. From a retrospective study of 132 patients it appears that the incidence of this troublesome complication can be reduced after osteotomy with external fixation by using a technique of making consecutive drill holes of increasing diameter followed by osteoclasis. This reduction of neurological complications was most marked when a less extensive surgical approach was used.

摘要

高位胫骨楔形截骨术后常伴有短暂性神经并发症。对132例患者的回顾性研究表明,采用逐渐增大直径的连续钻孔并随后进行折骨术的外固定截骨技术,可降低这种棘手并发症的发生率。当采用范围较小的手术入路时,神经并发症的减少最为显著。

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Int Orthop. 1995;19(6):352-4. doi: 10.1007/BF00178347.
2
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本文引用的文献

1
[Wedge osteotomy of the tibial head using fractionated drilling. A complication-reducing surgical modification].[使用分次钻孔技术行胫骨近端楔形截骨术。一种减少并发症的手术改良方法]
Z Orthop Ihre Grenzgeb. 1996 Jan-Feb;134(1):11-5. doi: 10.1055/s-2008-1037411.
2
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Unfallheilkunde. 1984 Oct;87(10):397-404.
3
Complications of tibial osteotomy in children for genu varum or valgum. Evidence that neurological changes are due to ischemia.儿童胫骨截骨术治疗膝内翻或膝外翻的并发症。神经学改变系缺血所致的证据。
J Bone Joint Surg Am. 1971 Dec;53(8):1629-35.
4
[Anterior tibial syndrome following lower leg surgery. False diagnosis as peroneal paresis].小腿手术后的胫前综合征。误诊为腓总神经麻痹
Arch Orthop Unfallchir. 1969 Jul;66(3):201-19. doi: 10.1007/BF00416050.
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High domed tibial osteotomy in the treatment of angular deviations of the knee. A new system of surgical instrumentation.
Ital J Orthop Traumatol. 1985 Sep;11(3):331-9.
6
Medial and lateral gonarthrosis treated with high tibial osteotomy. A prospective study.
Arch Orthop Trauma Surg (1978). 1985;104(3):135-44. doi: 10.1007/BF00454689.
7
[Indications, surgical technic and results of transcondylar tibia osteotomy in gonarthrosis. Experiences based on a follow-up study of 783 tibia osteotomies].[膝关节病中经髁胫骨截骨术的适应症、手术技术及结果。基于783例胫骨截骨术随访研究的经验]
Orthopade. 1985 Jun;14(3):161-71.
8
[Results of follow-up studies following proximal corrective osteotomy of the tibia].[胫骨近端矫正截骨术后的随访研究结果]
Beitr Orthop Traumatol. 1989 Dec;36(12):563-71.
9
[Corrective osteotomy of the head of the tibia in primary and secondary gonarthrosis--a para-articular operation].
Aktuelle Traumatol. 1990 Jun;20(3):124-8.
10
[High tibial barrel-vault osteotomy. A clinical study and statistical analysis of 91 long-term results].[高位胫骨桶状骨皮质切开术。91例长期结果的临床研究与统计分析]
Z Orthop Ihre Grenzgeb. 1991 Jan-Feb;129(1):72-9. doi: 10.1055/s-2008-1040163.