关节外畸形全膝.pptVIP

2 个手术选择 : 1 – 分期手术 ：osteotomy first, and then TKA 2 – 一期手术：TKA and osteotomy in a single operation 手术简单 截骨愈合率高 力线改善后部分患者膝关节症状改善导致全膝手术推后进行 整体治疗期很长 (6 到 12 月) 费用增加，手术麻醉次数增加 First report : JL LERAT : 1991 SOF.C.O.T Annual Meeting, Paris, 1991 Symposium : “ Failed HTO” (2 cases operated on in 1990) WOLF and HUNGERFORD : 2 cases in 1991 UCHINOU : 1 case in 1996 HUNGERFORD : “14th Annual Current Concepts in Joint Replacement” in Cleveland, Dec 1997 Thank you 关节外畸形全膝 股骨侧的外翻位畸形的矫正 1 – 垂直于胫骨纵轴截骨 2 – 根据胫骨进行股骨截骨 3 – 保证韧带平衡+Spa