“V+L”型胫骨高位截骨加内固定治疗膝内翻的体会  

"V+L"-Type High Proximal Tibial Osteotomy and Internal Fixation of Varus Experience

作　　者：伍罕[1] 王全贵[1] 钟亚林[1] 陈传功[1] 

机构地区：[1]北京军区总医院东区骨科,北京100125

出　　处：《实用骨科杂志》2012年第4期315-317,共3页Journal of Practical Orthopaedics

摘　　要：目的应用＂V＋L＂型胫骨高位截骨加钢板内固定手术治疗膝内翻。方法本组35例（56膝）,男15例,女20例;年龄46~75岁,平均66.3岁。术前进行相关筛选后,测量出内翻畸形角度,并计算出胫骨结节下＂V＂型截骨的基底厚度,在胫骨后侧骨皮质不截断,于近端呈＂L＂型横型截骨,再予以胫骨上端解剖钢板固定。结果本组随访0.5~5年,平均随访3年,效果满意。根据M iller等标准进行功能评价,优27例45膝,良5例8膝,中3例3膝,优良率95%。结论采用＂V＋L＂型胫骨高位截骨加钢板内固定手术治疗膝内翻具有可行性,可获得良好疗效。Objective To access the effect of ＂V＋L＂-type high tibial osteotomy and plate fixation for the treatment of varus of knee.Methods After the screening before surgery,we measured the angle of varus deformity and then calculated the thickness of the ＂V＂ osteotomy,posterior tibial cortical bone is not cut off,was in near ＂L＂ shaped transverse cross-sectional bone,and then fixed with tibia plate.Results The effect is satisfactory in all the patients.Conclusion That the use of ＂V＋L＂-type proximal tibial osteotomy and internal fixation of varus knee surgery has good clinical result.

关 键 词：胫骨高位截骨 内固定 膝内翻 

分 类 号：R682.6[医药卫生—骨科学]