在一例高胫骨截骨失败和后十字韧带重建失败的病例中,采用前开楔截骨术矫正矢状位和冠状位错位

IF 1.2 Q3 ORTHOPEDICS
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引用次数: 0

摘要

胫骨近端前方开楔高胫骨截骨术是一种可靠的手术方法,可治疗因胫骨后斜度降低而导致的膝关节后凸。它也适用于后交叉韧带(PCL)缺损的病例,尤其是在 PCL 重建手术失败后,因为胫骨后斜度反转是 PCL 重建失败的常见风险因素。在某些膝关节中,胫骨后斜可能与膝关节内翻或外翻畸形有关。我们介绍了胫骨后斜度反向和膝关节内翻畸形的矫正方法,胫骨高位截骨术操作不当可能导致 PCL 重建失败。在我们的技术中,上述两种畸形可同时得到矫正,从而通过一次截骨手术解决膝关节的矢状向和冠状向错位问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Anterior Open-Wedge Osteotomy to Correct Sagittal and Coronal Malalignment in a Case of Failed High Tibial Osteotomy and Failed Posterior Cruciate Ligament Reconstruction

Anterior open-wedge high tibial osteotomy of the proximal tibia is a reliable surgical procedure to treat genu recurvatum secondary to decreased posterior tibial slope. It is also useful in cases of posterior cruciate ligament (PCL) deficiency, especially after a failed PCL reconstruction procedure as reversal of posterior tibial slope is a common risk factor for failure of PCL reconstruction. In some knee joints, reversed tibial slope may be associated with varus or valgus deformity. We describe correction of reverse posterior slope along with varus deformity, which may result from a poorly performed high tibial osteotomy leading to failure of reconstructed PCL. In our technique, both of the above deformities are corrected simultaneously, thereby addressing the sagittal and coronal malalignments of the knee with one osteotomy.

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来源期刊
Arthroscopy Techniques
Arthroscopy Techniques ORTHOPEDICS-
CiteScore
2.10
自引率
33.30%
发文量
291
审稿时长
29 weeks
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