Varus ankle arthritis: a modified operation with a novel osteotomy and lateral hinge plate fixation technique  

作　　者：Xiao-Hui Gu Xin-Ji Chen Chao Sun Jian-Zhong Zhang Zong-Ping Luo 

机构地区：[1]Drthopaedic Institute,Department of Orthopaedics,The First Affiliated Hospital of Soochow University,Suzhou,Jiangsu 215007,China [2]Department of Orthopaedic Surgery,Zhejiang Provincial People's Hospital and People's Hospital of Hangzhou Medical College,Hangzhou,Zhejiang 310014,China [3]Department of Orthopedics,The Second Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325027,China [4]Department of Orthopedics,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China

出　　处：《Chinese Medical Journal》2019年第24期2998-3000,共3页中华医学杂志（英文版）

基　　金：This study was supported by a grant from the National Natural Science Foundation of China(No.81702964);the Co-building Major Project of Zhejiang Provincial Health Commission and the Chinese National Health Commission(No.WKJ2014-2-002).

摘　　要：Ankle arthritis is a disease characterized by degeneration of articular cartilage,which is always accompanied with pain,decreased mobility,and varus deformity.Supramalleolar osteotomy is a reliable techniques in the treatment of arthritis.It can correct deformities at the distal tibia and normalize the load-bearing axis,and thereby reduce the unusual compression to the articular cartilage,alleviate pain,and improve functionality.The shortcomings include the frequent intra-operative fluoroscopy and no early exercise or weight-bearing.What is more,in the process of distracting the tibia after osteotomy,the separation of contralateral cortical bone often occurs.Takeuchi et al[1]reported that fracture and disruption of the lateral cortex would result in distinct instability to the osteotomy.Miller et al[2]noted that this complication contributed to the loss of angular correction,implant failure,delayed union even non-union of the osteotomy.In this study,we reported a modified osteotomy with a preshaped plate and novel osteotomy to overcome these shortcomings.

关 键 词：OSTEOTOMY operation UNION 

分 类 号：R68[医药卫生—骨科学]