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手术治疗脊髓灰质炎后遗症膝反屈畸形 被引量:1

Surgical treatment for knee recurvation of poliomyelitis sequela
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摘要 目的探讨脊髓灰质炎后遗症膝反屈畸形的手术治疗效果.方法采用股骨下端和胫骨上端前侧骨骺刺激、股骨髁上前倾截骨、胫骨平台下植骨抬高术或上端截骨垫高术等5种手术方法治疗37例39个膝关节.结果术后35例37个膝获随访,随访时间9个月~6年,平均4年5个月.29例达到矫正效果,4例畸形复发行二次手术.结论膝反屈的成因复杂,只有根据临床类型选择正确的手术方法,才能达到矫正目的. Objective To investigate the effect of treatment for knee recurvation of pliomyelitis sequela. Methods 37 cases(39 knees) were treated with anterior distal femoral and tibial epiphyses stimulating, femoral supracondylar antiverted osteotomy,elevation and bone grafting under tibial plateau and proximal tibial elevation osteotomy and bone grafting,respectively. Results 35 cases(37 knees) were followed up for 9 -72 months,53 on average. 29 eases got correction results. 4 were undergone revision for deformities recurrence. Conclusions The causes of knee recurvation are complicated. Only according to the clinical types to select surgical method can the deformities correction be obtained.
出处 《临床骨科杂志》 2005年第4期306-308,共3页 Journal of Clinical Orthopaedics
关键词 膝反屈 脊髓灰质炎后综合征 knee recurvation postpoliomyelitis syndrome
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  • 1秦泗河,蔡刚,翁习生,周育松.Ilizarov牵拉组织再生技术矫正膝关节重度复合畸形[J].中国矫形外科杂志,2007,15(8):569-572. 被引量:12
  • 2Dimeglio DW.New concept and appoach to severe knee flexion contracture.Section I:principles and morbid-anatomy[J].J Pediatr Orthop,1982,2:141-148.
  • 3Strecker W,Kinzl L,Keppler P.Conective osteotomies of the distal femur with retrograde intramedullary nail[J].Unfallchirurg,2001,104(10):973-983.

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