股骨髁上截骨联合关节镜手术治疗膝外翻畸形.doc

万方数据 摘 要 摘 要 目的 研究讨论股骨髁上杵臼状截骨术结合膝关节镜手术治疗膝外翻畸形方法的疗 效价值。 方法 选自 2008 年 9 月至 2012 年 5 月之间的 32 例(35 膝)成人膝外翻畸形患者， 对其予以股骨髁上截骨术联合关节镜手术进行矫正治疗。所有患者中，男性为 7 例 （8 膝），女性为 25 例（27 膝），平均年龄为 43 岁，矫正术前对所有患者进行患 侧膝关节 HSS 功能评分，平均得分为 60.46 分，常规对所有患者行手术前后的负 重位双侧膝关节正侧位及双下肢全长正位 X 线检查，并且确保所有患者投照条件 均保持一致，于膝关节 X 线影像上测量股骨角、股胫角，对其计算、对比。患者 术后平均 12 个月后取出内固定物，并对所有患者保持随访，时间平均为 24 月，在 此期间密切观察患者畸形矫正后情况、患侧膝关节状态变化以及截骨端愈合情况。 结果 对所有患者平均随访 24 个月，结果显示患者膝关节外翻畸形矫正确切，截 骨角度无丢失，骨愈合情况良好，膝关节肿胀、疼痛等症状明显减轻或消失，术后 患侧膝关节 HSS 功能评分平均为 85.4 分。 结论 股骨髁上杵臼状截骨术结合膝关节镜手术治疗膝外翻的方法，是科学、有效 的，其在膝外翻矫正上是一种疗效满意的手术方式。 图 25 幅；表 5 个；参 135 篇。 关键词：膝外翻；髁上截骨；膝关节镜；矫形；下肢力线 分类号：R686.5 - I - 万方数据 河北联合大学硕士学位论文 Abstract Objective To investigate and research the curative effect of supracondylar osteotomy of femur combined with arthroscopy of the knee for the treatment of the valgus deformity of knees. Methods Choicing 32 patients (35 knees) with valgus deformity of knees were treated with supracondylar osteotomy of femur combined with arthroscopy of knee from September 2008 to May 2012.The average age was 35 years consisted of 7 male (8 knees) and 25 female (27 knees).All the people in the study group were test by HSS knee score system pre-operative,and the result of the test score was an average of 60.46.The routine examination include knee joint AP LAT and full-length AP view of the lower extremity X-ray before and after operation and the set of the methods of the X-ray examination was the same. All the people’s the femoral angle and femoral-tibial angle were measured according to the X-ray view after the examination in this study group. After the operation the internal fixation was taken out in an average of 12 months and the study group was followed-up in 24 months. All the condition of the patients was recorded in the 24 months. Result We followed all the people in this study group in an average of 24 months.The follow-up time was an average of 24 months. The result showed that all the deformity was effectively correct,All the bone was very wel