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首页> 外文期刊>Journal of the Medical Association of Thailand =: Chotmaihet thangphaet >Uni-condyle high tibial osteotomy for malunion of medial plateau fracture: Surgical technique and case report
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Uni-condyle high tibial osteotomy for malunion of medial plateau fracture: Surgical technique and case report

机译:单-高位胫骨截骨术治疗内侧平台骨折畸形愈合:手术技术及病例报告

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摘要

High tibial osteotomy (HTO) is a surgical procedure to re-align varus or valgus mal-alignment of the knee. Medial opening wedge HTO is a surgical treatment of choice for knee varus mal-alignment with many advantages over lateral closing wedge HTO. However, the opening of the medial wedge alters the plane of the lateral tibial plateau, especially when the correction angle is large, which may be the cause of early arthritic changes of the lateral compartment. Many recent studies reported the changes in medial posterior slope after medial opening wedge HTO, which affected the biomechanics of the knee. This report presents uni-condyle HTO, a new surgical technique that corrects alignment of medial tibial plateau in both coronal and sagittal plane without affecting the plane of lateral tibial plateau.
机译:胫骨高度截骨术(HTO)是一种外科手术,用于重新对准膝内翻或外翻畸形。内侧开口楔形HTO是膝内翻畸形的首选手术治疗方法,与外侧闭合楔形HTO相比具有许多优势。但是,内侧楔形的开口会改变胫骨外侧平台的平面,尤其是在矫正角度较大时,这可能是外侧隔室早期关节炎改变的原因。最近的许多研究报道了内侧楔形HTO后内侧后倾斜的变化,这影响了膝盖的生物力学。本报告介绍了单-HTO,这是一种新的外科手术技术,可纠正冠状和矢状平面内胫骨平台的对齐,而不会影响胫骨外侧平台的位置。

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