股骨髁上截骨术2600例体会

Experiences in 2600 Cases of Sup racondylar Osteotomy of Femur.

1976年～1989年10月计行股骨髁上截骨术2600例,均采用V形截骨方式,未发生肌间隔高压症、腘后血管损伤等严重并发症。文中强调正确的截骨平面及角度是防止骨错位的重要环节;恢复膝关节负重力线是保证良效的关键;严密的术后观察是早期发现重要并发症的有效措施;同时讨论了粘连性膝屈曲受限的防治。

There were 2600 cases supracon dylar osteotomy treated since 1976Oct. 1989.They were all dealt with 'V' shape osteotomy, and neither hyper muscular compartment syndrome nor popliteal neuro-vascular injuries were encountered.The prevention of displacement of the osteotomized end were laid on accurately performing both in level and angle. The key step to provide the best result Was to reconstruct weight bearing axis of the knee.Closely post-operative observation might be able to discover early important complications. Meanwhile, the prevention of adhensivc flexion limitatio of knee was discussed.