[Double-Level De-Rotational Osteotomy of the Knee].

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2024-10-01 Epub Date: 2024-01-19 DOI:10.1055/a-2232-3506
Felix Ferner, Christoph Lutter, Mario Perl, Jörg Harrer
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引用次数: 0

Abstract

Derotational osteotomies of the proximal tibia and distal femur are a common surgical treatment option in patients with a congenital or posttraumatic torsional deformity. Clinically, these patients present with isolated anterior knee pain alone or in in combination with patellofemoral instability. Since the combination of femoral and tibial deformity is common (quotation Cooke), a combined surgical treatment is needed for these cases. This includes high tibial derotational and a distal femoral osteotomy, stabilised by a plate respectively. The current video shows the technique of this combined osteotomy assisted by external fixateur and the tibial approach with tibialis anterior fasciectomy and neurolysis of the peroneal nerve.

[膝关节双层去旋转截骨术]。
胫骨近端和股骨远端截骨术是先天性或创伤后扭转畸形患者常见的手术治疗方法。在临床上,这些患者表现为单独的膝关节前部疼痛或合并髌骨股骨不稳定。由于股骨畸形和胫骨畸形并存的情况很常见(引用库克的话),因此需要对这些病例进行联合手术治疗。这包括胫骨高位脱位和股骨远端截骨,并分别用钢板加以稳定。当前的视频展示了这种由外固定器辅助的联合截骨术,以及胫骨入路与胫骨前筋膜切除术和腓总神经神经溶解术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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