股骨髁上侧方"V"形截骨术治疗膝内、外翻畸形

采用一种新的截骨术矫正膝内、外翻畸形，改善疗效。方法：以自行设计的股骨髁上侧方”Ｖ“形截骨术矫正膝内，外翻畸形。结果：治疗膝外翻２１例，膝内翻６例。平均术后制动时间６５．８天，９２．６天开始负重。随随访，膝关节力线及功能满意。结论：股骨髁上侧方“Ｖ”形截骨术简易易行、稳定性好，截骨外不需要内固定，是矫正膝内，外翻 可供选择的新手术方法之一 。

V-shaped Supracondylar Osteotomy in the Treatment of Genu Varum and Genu Valgum

Objective:To improve the results of treatment of genu varum and genu valgum with an new technique of osteotomy.Method:We used a self designed lateral or medial V shaped superacondylar osteotomy of femur in treatment of genu varum and genu valgum without using internal fixation.Results:We treated 21 patients(30 sides) with genu valgum and 6 patients (10 sides) with genu varum.The duration of immobilization averaged 65.8 days.The time to the commencement of load bearing was from 75 to 120 days (average 92 6 days) postoperatively.The results of follow up showed that the corrections to the deformities were satisfactory.The movements of the knees were basicly normal.The knee pains and fatigue had abated.X ray films taken at 60 to 90 days postoperatively showed that the osteotomies had healed solidly, and possesed good apposition and alignment. Even though no internal fixation was used,the osteotomy remained stable and the healing period was shortened.Conclusion:The osteotomy is a simple and reliable alternative of the treatment of genu varum and genu valgum.