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1、萬方數(shù)據(jù)摘要摘要目的研究討論股骨髁上杵臼狀截骨術結(jié)合膝關節(jié)鏡手術治療膝外翻畸形方法的療效價值。方法選自2008年9月至2012年5月之間的32例(35膝)成人膝外翻畸形患者,對其予以股骨髁上截骨術聯(lián)合關節(jié)鏡手術進行矯正治療。所有患者中,男性為7例(8膝),女性為25例(27膝),平均年齡為43歲,矯正術前對所有患者進行患側(cè)膝關節(jié)HSS功能評分,平均得分為60.46分,常規(guī)對所有患者行手術前后的負重位雙側(cè)膝關節(jié)正側(cè)位及雙下肢全長正位X線檢查,并且確保所有患者投照條件均保持一致,于膝關節(jié)X線影像上測量股骨角、股脛角
2、,對其計算、對比。患者術后平均12個月后取出內(nèi)固定物,并對所有患者保持隨訪,時間平均為24月,在此期間密切觀察患者畸形矯正后情況、患側(cè)膝關節(jié)狀態(tài)變化以及截骨端愈合情況。結(jié)果對所有患者平均隨訪24個月,結(jié)果顯示患者膝關節(jié)外翻畸形矯正確切,截骨角度無丟失,骨愈合情況良好,膝關節(jié)腫脹、疼痛等癥狀明顯減輕或消失,術后患側(cè)膝關節(jié)HSS功能評分平均為85.4分。結(jié)論股骨髁上杵臼狀截骨術結(jié)合膝關節(jié)鏡手術治療膝外翻的方法,是科學、有效的,其在膝外翻矯正上是一種療效滿意的手術方式。圖25幅;表5個;參135篇。關鍵詞:膝外翻;髁
3、上截骨;膝關節(jié)鏡;矯形;下肢力線分類號:R686.5-I-萬方數(shù)據(jù)河北聯(lián)合大學碩士學位論文AbstractObjectiveToinvestigateandresearchthecurativeeffectofsupracondylarosteotomyoffemurcombinedwitharthroscopyofthekneeforthetreatmentofthevalgusdeformityofknees.MethodsChoicing32patients(35knees)withvalgusdefor
4、mityofkneesweretreatedwithsupracondylarosteotomyoffemurcombinedwitharthroscopyofkneefromSeptember2008toMay2012.Theaverageagewas35yearsconsistedof7male(8knees)and25female(27knees).AllthepeopleinthestudygroupweretestbyHSSkneescoresystempre-operative,andtheresu
5、ltofthetestscorewasanaverageof60.46.TheroutineexaminationincludekneejointAP&LATandfull-lengthAPviewofthelowerextremityX-raybeforeandafteroperationandthesetofthemethodsoftheX-rayexaminationwasthesame.Allthepeople’sthefemoralangleandfemoral-tibialangleweremeas
6、uredaccordingtotheX-rayviewaftertheexaminationinthisstudygroup.Aftertheoperationtheinternalfixationwastakenoutinanaverageof12monthsandthestudygroupwasfollowed-upin24months.Alltheconditionofthepatientswasrecordedinthe24months.ResultWefollowedallthepeopleinthi
7、sstudygroupinanaverageof24months.Thefollow-uptimewasanaverageof24months.Theresultshowedthatallthedeformitywaseffectivelycorrect,Allthebonewasverywellconnectedandallthekneejointfunctionwasobviouslyimproved.Theaffectedsideknee’sHSSscorewasanaverageof85.4aftert
8、heoperation.ConclusionThesupracondylardomeosteotomyoffemurcombinedwitharthroscopyisasafe,scientificandeffectivestrategyinthetreatmentofthevalgusdeformityofknees.Figure25,Table5,Reference135Keywo