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胫骨髁外翻截骨术联合关节镜下清理术治疗膝关节内翻畸形1例报道
引用本文:陈礼阳,胡健,易诚青,刘丙立. 胫骨髁外翻截骨术联合关节镜下清理术治疗膝关节内翻畸形1例报道[J]. 复旦学报(医学版), 2022, 49(5): 815-820. DOI: 10.3969/j.issn.1672-8467.2022.05.028
作者姓名:陈礼阳  胡健  易诚青  刘丙立
作者单位:1. 上海市浦东医院-复旦大学附属浦东医院骨科 上海 201399;2. 上海市浦东新区人民医院骨科 上海 201299
基金项目:复旦大学附属浦东医院引进人才科研启动金项目(YJYJRC202111);上海市卫健委医学重点专科项目(ZK2019C01);上海市浦东新区卫健委临床高原学科项目(PWYgy2021-04);上海市浦东新区卫生系统领先人才培养计划(PWRI2021-01)
摘    要:
膝关节因外伤或退变等因素发生内翻畸形时,长期异常的负重载荷会加速内侧间室关节软骨的退变,引发膝关节骨性关节炎。胫骨髁外翻截骨术(tibial condylar valgus osteotomy,TCVO)对胫骨内侧平台塌陷具有“跷跷板”效应的膝关节内翻畸形具有很好的治疗效果。本文报道1例经TCVO联合关节镜下清理术治疗Schatzker Ⅳ型胫骨内侧平台陈旧性骨折伴内翻畸形病例。

关 键 词:胫骨髁外翻截骨术(TCVO)  关节镜  膝内翻畸形  
收稿时间:2022-01-04

Tibial condylar valgus osteotomy combined with arthroscopic debridement in the treatment of varus knee: a case report
CHEN Li-yang,HU Jian,YI Cheng-qing,LIU Bing-li. Tibial condylar valgus osteotomy combined with arthroscopic debridement in the treatment of varus knee: a case report[J]. Fudan University Journal of Medical Sciences, 2022, 49(5): 815-820. DOI: 10.3969/j.issn.1672-8467.2022.05.028
Authors:CHEN Li-yang  HU Jian  YI Cheng-qing  LIU Bing-li
Affiliation:1. Department of Orthopedics, Shanghai Pudong Hospital-Fudan University Pudong Medical Center, Shanghai 201399, China;2. Department of Orthopedics, Shanghai Pudong New Area People's Hospital, Shanghai 201299, China
Abstract:
When varus deformity of knee joint occurs due to trauma or degeneration, long-term abnormal load will accelerate the degeneration of articular cartilage of medial compartment and lead to knee osteoarthritis. Tibial condylar valgus osteotomy (TCVO) has a good therapeutic effect on the varus deformity of knee joint with "seesaw" effect. This paper reports a case of Schatzker type Ⅳ old fracture of medial tibial plateau with varus deformity treated by TCVO combined with arthroscopic debridement.
Keywords:tibial condylar valgus osteotomy (TCVO)  arthoroscope  varus knee  
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