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股骨髁上杵臼截骨联合关节镜手术治疗成人膝关节外翻畸形

王开玉 陈德生 张志刚 孙明宏 刘娜

实用医学杂志Issue(18):2973-2976,4.
实用医学杂志Issue(18):2973-2976,4.DOI:10.3969/j.issn.1006-5725.2014.18.036

股骨髁上杵臼截骨联合关节镜手术治疗成人膝关节外翻畸形

Combined supracondylar dome osteotomy of femur with arthroscopy in the treatment of the adult valgus deformity of knees

王开玉 1陈德生 1张志刚 1孙明宏 1刘娜1

作者信息

  • 1. 063000 唐山市第二医院 河北联合大学附属骨科医院 关节 1 科
  • 折叠

摘要

Abstract

Objective To investigate the method and efficiency of supracondylar dome osteotomy of femur combined with arthroscopy for the treatment of the adult valgus deformity of knees. Methods From September 2008 to May 2012, 32 patients (35 knees) with valgus deformity of knees were treated with supracondylar dome osteotomy of femur combined with arthroscopy. The study group included 7 male and 25 female (average age: 43 years). The pre-operative HSS knee score was an average of 60.46. The weight-bearing knee joint AP & LAT and the full-length AP view of the lower extremity were examined before and after operation. At the same time , the femoral angle and femoral-tibial angle were measured and evaluated. The internal fixation was taken out in an average in 12 months. All the patients were followed-up and the change of the correction angles , the function of the knee and the condition of bone healing was recorded. Result The follow-up time was an average of 24 months. All the patients got a satisfied correction of the deformity, good bone union and obvious improvement of joint function. The postoperative HSS knee score was an average of 85.40. Conclusion The supracondylar dome osteotomy of femur combined with arthroscopy is a safe, reliable and effective strategy for the treatment of the adult valgus deformity of knees.

关键词

截骨术/膝关节/畸形/关节镜检查/骨关节炎

Key words

Osteotomy/Knee joint/Abnormalities/Arthroscopy/Osteoarthritis

引用本文复制引用

王开玉,陈德生,张志刚,孙明宏,刘娜..股骨髁上杵臼截骨联合关节镜手术治疗成人膝关节外翻畸形[J].实用医学杂志,2014,(18):2973-2976,4.

实用医学杂志

OA北大核心CSTPCD

1006-5725

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