Verheyden P, Josten C
Klinik für Unfall- und Wiederherstellungschirurgie, Universität Leipzig.
Chirurg. 1998 Nov;69(11):1178-87. doi: 10.1007/s001040050555.
The general aspects for the analysis of malalignment of the low tibial region in the three-dimensional space are discussed. Recommendations of clinical and radiological diagnostics prior to low tibial osteotomies are given. Closing wedge, opening wedge, dome-shaped, distraction, rotational and step-shaped osteotomies as well as combined procedures are described. The possibilities of these techniques are pointed out for malalignment after lower leg, pilon and ankle fractures, as well as after trauma of the distal epiphysis of the tibia. Arthroscopy of the ankle is an additional tool for detailed planning of the adequate surgical procedure. The importance of determining an early correction cannot be underestimated.
讨论了在三维空间中分析胫骨下段对线不良的一般方面。给出了胫骨下段截骨术前临床和放射学诊断的建议。描述了闭合楔形、开放楔形、穹顶形、撑开、旋转和阶梯形截骨术以及联合手术。指出了这些技术在小腿、Pilon骨折和踝关节骨折后以及胫骨远端骨骺创伤后对线不良的应用可能性。踝关节镜检查是详细规划适当手术的辅助工具。早期矫正的重要性不可低估。
