External fixation in proximal tibial osteotomy: a comparison of three methods

被引:15
作者
Geiger, F [1 ]
Schneider, U [1 ]
Lukoschek, M [1 ]
Ewerbeck, V [1 ]
机构
[1] Univ Mainz, Dept Traumatol, D-55131 Mainz, Germany
关键词
D O I
10.1007/s002640050336
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
During a period of 6 years (1990-1996), 154 patients with unilateral gonarthrosis underwent proximal tibial osteotomy using 3 different methods of external fixation: (1) closing wedge osteotomy and bilateral fixation; (2) closing wedge osteotomy with unilateral fixation, and (3) opening wedge osteotomy with unilateral fixation. The most common complications were pin-tract infection (25%), temporary nerve palsy (10%), and loss of alignment (17%). At least one complication developed in 33% of patients in this study, indicating that the use and technique of external fixation in proximal tibial osteotomy can be problematic.
引用
收藏
页码:160 / 163
页数:4
相关论文
共 20 条
[1]   PROXIMAL TIBIAL OSTEOTOMY - A CRITICAL LONG-TERM STUDY OF 87 CASES [J].
COVENTRY, MB ;
ILSTRUP, DM ;
WALLRICHS, SL .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1993, 75A (02) :196-201
[3]  
DINKELAKER F, 1990, Aktuelle Traumatologie, V20, P124
[4]   PROXIMAL TIBIAL OSTEOTOMY IN PATIENTS WHO ARE 50 YEARS OLD OR LESS - A LONG-TERM FOLLOW-UP-STUDY [J].
HOLDEN, DL ;
JAMES, SL ;
LARSON, RL ;
SLOCUM, DB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1988, 70A (07) :977-982
[5]   HIGH TIBIAL OSTEOTOMY FOR VARUS GONARTHROSIS - A LONG-TERM FOLLOW-UP-STUDY [J].
INSALL, JN ;
JOSEPH, DM ;
MSIKA, C .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1984, 66A (07) :1040-1048
[6]   TECHNIQUE AND COMPLICATIONS OF UPPER TIBIAL OSTEOTOMY - REVIEW OF 226 OPERATIONS [J].
JACKSON, JP ;
WAUGH, W .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1974, B 56 (02) :236-245
[7]  
JENNY K, 1985, ORTHOPADE, V14, P161
[8]   PALSY OF THE DEEP PERONEAL NERVE AFTER PROXIMAL TIBIAL OSTEOTOMY - AN ANATOMICAL STUDY [J].
KIRGIS, A ;
ALBRECHT, S .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1992, 74A (08) :1180-1185
[9]  
MENKE W, 1992, ZBL CHIR, V117, P151
[10]  
MINIACI A, 1989, CLIN ORTHOP RELAT R, P250