用单外侧外固定器进行胫骨内侧渐开段截骨术矫正胫骨外翻畸形

IF 1.2 Q3 ORTHOPEDICS
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引用次数: 0

摘要

由于膝关节内侧室承受的压力过大,加剧了退行性病变的进程,因此有必要矫正胫骨内翻畸形。矫正策略包括多种方法,取决于患者的个体特征、年龄、软组织状况以及矫形外科医生对不同手术材料的经验。在选择最合适的材料和形状时,畸形的大小和位置,无论是渐进性的还是急性的,都起着至关重要的作用。渐进矫正尤其适用于畸形严重、软组织受累和有骨感染病史的患者。本研究旨在介绍一种使用单侧外固定器逐步矫正胫骨屈曲畸形的技术,并描述术后随访情况。该技术具有显著的优势,包括矫正准确、患者接受度更高、组装更轻便、假关节风险更低,以及由于使用单件外固定器,牵引过程更短。此外,手术肢体可在术后当天承受负荷,动态随访可在门诊进行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Medial Gradual Opening Osteotomy of the Tibia With Monolateral External Fixator for Correcting the Varus Deformity of the Tibia

Correction of the varus deformities in the tibia is necessary because of the excessive pressure exerted on the medial compartment of the knee, which intensifies the degenerative process. Correction strategies encompass a variety of approaches and depend on the patient’s individual characteristics, age, soft tissue condition, and the orthopaedic surgeon’s experience with different surgical materials. Size and location of the deformity, whether gradual or acute, play crucial roles in choosing the most appropriate material and shape. The gradual correction is especially indicated for patients with severe deformities, soft tissue involvement, and a history of bone infections. This study aimed to introduce a gradual correction technique for varus deformities in the tibia using a unilateral external fixator and to describe the postoperative follow-up. This technique offers notable advantages, including accurate correction, better patient acceptance, lighter assembly, less risk of pseudarthrosis, and shorter distraction process owing to the use of a single piece. In addition, the operated limb can support the load on the day after surgery, and dynamic follow-up is performed on an outpatient basis.

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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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