膝关节置换术前的计划性对位截骨术治疗明显的关节错位：遗传性多发性骨质疏松症病例报告

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2024-11-06 DOI:10.1016/j.artd.2024.101519

Tim Schmid MD , Marietta Schmid MD , Pascal A. Schai MD

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引用次数: 0

摘要

对于关节外骨错位明显的膝关节炎病例，有多种方法可实现正确对齐的全膝关节置换术。翻修器械和植入物可以在进行膝关节置换术的同时对明显的胫骨和/或股骨偏移进行骨矫正，但增加了手术的复杂性和固有风险。这位患者患有遗传性多发性外生骨病，膝关节炎因关节外错位而不断进展，因此选择的治疗策略主要是通过股骨和胫骨截骨术矫正关节面畸形，为日后的膝关节置换术做好准备。在全膝关节置换术前进行分阶段截骨，可有效控制严重的关节外错位，提高手术效果和假体寿命。

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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Planned Realignment Osteotomies Ahead of Knee Arthroplasty for Pronounced Joint Malalignment: A Case Report in Hereditary Multiple Exostoses Disease

Various approaches have been reported to achieve correctly aligned total knee arthroplasty in cases of knee arthritis with pronounced extra-articular bone malalignment. Revision instrumentation and implants have enabled bone correction coincident with knee arthroplasty in notable tibial and/or femoral deviation, however increasing operative complexity and inherent risks. In the presented patient with hereditary multiple exostoses disease and progressing knee arthritis for extra-articular malalignment, elected treatment strategy was to primarily correct joint plane deformity through femoral and tibial osteotomies, ahead of and preparing for later knee arthroplasty. Staged osteotomies prior to total knee arthroplasty are effective for managing severe extra-articular malalignment, improving surgical outcome and prosthetic longevity.

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.