膝关节清理加胫骨高位倒u形截骨术治疗膝关节骨关节炎并内翻畸形（Knee joint debridement plus high tibial inverted U osteotomy for the treatment of osteoarthritis of the knee and varus deformity）.docVIP

膝关节清理加胫骨高位倒u形截骨术治疗膝关节骨关节炎并内翻畸形（Knee joint debridement plus high tibial inverted U osteotomy for the treatment of osteoarthritis of the knee and varus deformity） Knee joint debridement plus high tibial inverted U osteotomy for the treatment of osteoarthritis of the knee and varus deformity Update Date: 2009-07-04 click: Zhang Shimin, Guo Jianan, Wang Hong, Zhang Defu Subject headings knee osteoarthritis / treatment U shape osteotomy clinical study Osteoarthritis of the knee is a common disease in the clinic, especially in women over the age of 50. Since 1992, we have treated 19 cases of this disease with joint debridement and high tibial inverted U osteotomy, and the results are satisfactory. 1 clinical information 1.1 general data in this group of 19 cases (22 knees), the age is 45~65 years old. There were 4 males and 16 females. There were 6 left sides, 12 right and 2 bilateral. 17 knees were followed up for 1~6 years, with an average of 2.5 years. 1.2 surgical indications of knee pain in knee and knee joint medial pain, underwent conservative treatment for more than half a year is invalid; knee joint locking joint interruption occurs, there are a number of loose bodies; knee weight-bearing radiographs showed the tibiofemoral joint degeneration is obvious, on the side of joint space showed relatively normal. X-ray measurement of anatomical femoral tibial angle FTA 180 DEG; knee flexion range greater than 90 degrees, the muscle strength of knee flexors and extensors 4. 2 treatment The patients were in continuous epidural anesthesia downlink knee joint debridement combined with tibial tubercle at the upper part of the inverted U shape osteotomy, entropion, anterior tibial tubercle, Monteggia calf reduction external fixator fixation 1. 2.1 patients with joint debridement were supine. Tie tourniquet, surgical incision from the patella at 5cm, along the midline extending downwards, stop at the tibial tuberosity, skin incision, incision layer, pay attention to the prot