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首页> 外文期刊>BMC research notes >Total knee arthroplasty with corrective osteotomy for knee osteoarthritis associated with malunion after tibial plateau fracture: a case report
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Total knee arthroplasty with corrective osteotomy for knee osteoarthritis associated with malunion after tibial plateau fracture: a case report

机译：总膝关节间关节型术，胫骨平台骨折后膝关节骨关节炎与肛门骨关节炎有关：案例报告

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BackgroundWhen surgeons perform total knee arthroplasty in patients with knee osteoarthritis due to malunion following fractures around the knee joint, corrective osteotomy is recommended for severe deformities. Most such deformities are coronal plane varus or valgus deformities, and reports of sagittal plane flexion or extension deformities are rare. We describe a case in which a one-stage total knee arthroplasty was performed with extension corrective osteotomy in the sagittal plane. Case presentationA 71-year-old Japanese man presented with left knee pain. He had knee osteoarthritis associated with malunion after a tibial plateau fracture. Plain radiography showed a varus deformity in the coronal plane and a marked flexion deformity in the sagittal plane. We performed total knee arthroplasty concurrently with extension corrective osteotomy using a long stem. Full weight bearing was permitted at 6?weeks postoperatively, and the patient was able to walk without assistance. ConclusionsThis surgical method appears to be beneficial for shortening the duration of treatment and improving knee function.
机译：背景技术当外科医生在膝关节围绕膝关节围绕骨折后骨骼骨关节炎患者进行全膝关节置换术，建议矫正截骨术以进行严重畸形。大多数这种畸形是冠状平面差异或旋流畸形，并且矢状平面屈曲或延伸畸形的报告是罕见的。我们描述了一种案例，其中在矢状平面中用延伸矫正截骨术进行了一级总膝关节置换术。案例陈列室71岁的日本男子用左膝盖疼痛。他患有胫骨平台骨折后膝关节骨关节炎与malonion相关。普通射线照相显示冠状平面中的差异畸形和矢状平面中的标记屈曲畸形。我们使用长杆同时使用延伸矫正骨质切开术同时进行全膝关节置换术。术后6个时间允许全重轴承，患者能够在没有援助的情况下行走。结论STRHIS手术方法似乎有利于缩短治疗持续时间和改善膝关节功能。

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