[Lateral open wedge tibial osteotomy for posttraumatic deformity].

IF 1 4区医学 Q3 ORTHOPEDICS

Operative Orthopadie Und Traumatologie Pub Date : 2024-10-01 Epub Date: 2024-09-03 DOI:10.1007/s00064-024-00864-8

Katrin Karpinski, Philipp-Johannes Braun, Theresa Diermeier

引用次数: 0

Abstract

Objective: Correction of pseudoinstability and tibial malalignment by re-establishment of the pretraumatic tibial axis.

Indications: Posttraumatic valgus malalignment accompanied by pseudoinstability.

Contraindications: Infections, significant inhibition of movement and multidirectional ligament instability.

Surgical technique: Standard anterolateral approach to the proximal tibial head. Lateral open wedge high tibial osteotomy above (supra) the tibiofibular joint and opening until the pseudoinstability of the lateral collateral ligament is levelled.

Postoperative management: Partial weight bearing for 4 weeks, after radiological control full body weight loading is allowed. Implant removal after full bony consolidation.

Results: There is limited evidence in the current literature but the available results show good results in 70% of the cases in long-term follow-up.

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[胫骨外侧开放式楔形截骨术治疗创伤后畸形]。

目的：通过重建创伤前胫骨轴线，矫正假性不稳定和胫骨错位：通过重建创伤前的胫骨轴，矫正假性不稳定和胫骨错位：禁忌症：感染、明显的活动受限和多关节炎：手术技巧：手术技巧：胫骨近端头部的标准前外侧入路。手术技巧：胫骨近端头部的标准前外侧入路，在胫腓关节上方进行侧向开放式楔形高位胫骨截骨，直至外侧副韧带的假性不稳定性恢复平整：术后管理：部分负重 4 周，放射学控制后允许全身负重。结果：目前的文献证据有限，但现有的结果显示，70%的病例在长期随访中取得了良好的效果。

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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来源期刊

Operative Orthopadie Und Traumatologie ORTHOPEDICS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.