New combination of slotted plate supracondylar varus femoral osteotomy for the treatment of knee valgus deformity.docVIP

 PAGE \* MERGEFORMAT 22 New combination of slotted plate supracondylar varus femoral osteotomy for the treatment of knee valgus deformity Author: Huang Deyong, Zhou Yi-xiong, Xu, Monday new, Jiang Yi, Zhang Chun-yu Abstract [Objective] To investigate supracondylar femoral varus osteotomy with plate fixation for the treatment of new slot knee valgus deformity methods and effectiveness. [Method] From October 2000 ~ October 2005 between the 37 cases of 43 patients with genu valgum knee femoral supracondylar closing wedge osteotomy for correction of deformity, and use the new trough plate (Giebel plate / Germany Link) is fixed, 7 cases were male and eight knees, female 30 cases of 35 knees; the average age of 31.2 years (15 to 70 years). Preoperative lateral compartment osteoarthritis of the performance there are 11 cases 13 knees, Ahlback degree of 8 cases of grade Ⅰ and 10 knees, Ⅱ degree three cases of three knee. Before surgery, shot weight-bearing lateral pairs of knee joint is like a full-length films and lower limbs, measurement of femoral angle and femoral tibial angle and compared. Removed an average of 1.5 years after fixation and conduct follow-up, to understand the changes in the angle osteotomy and bone healing, as well as changes in patients with osteoarthritis pain evaluation. [Results] All patients received postoperative knee valgus deformity corrected by the preoperative femoral angle 71.7 ° (62 ° ~ 75 °) after correction to the 82.1 ° (78 ° ~ 85 °), mean correction 10.4 ° (8 ° ~ 21 °). The mean follow-up time was 1.5 years (1 ~ 2 years), 40 knees in 34 patients after 1 year follow-up when the osteotomy healed, and two cases of poor healing of osteotomy side, after re-replacement surgery and internal fixation at the osteotomy planted autogenous cancellous bone, was bone healing, 1 case a missing follow-up knees. Symptoms associated with osteoarthritis in eight cases of 10 patients with knee pain significantly reduced knee pain disappe