PDF(Pubmed)
Abstract：
The article describes the case of a young patient with bilateral genu varum deformity, limiting her mobility. The therapeutic decision was a staged reverse V-shaped tibial osteotomy on both knees at a six-month interval. The surgery faced infectious complications on the left side, requiring additional treatment. Despite this, the patient achieved successful correction, with wound healing and bone consolidation. Preoperative planning was crucial, determining specific correction angles for each knee. The reverse V-shaped osteotomy demonstrated satisfactory functional outcomes compared to other techniques. The conclusion emphasizes the effectiveness of reverse V-shaped high tibial osteotomy (HTO) in addressing varus tibial deformities, providing an alternative before considering total knee arthroplasty. Multicenter studies and long-term evaluations are recommended to refine this surgical procedure.
摘要：
本文描述了一名年轻的双侧膝内翻畸形患者的病例，限制了她的行动。治疗决定是在两个膝盖上进行分阶段的反向V形胫骨截骨术，间隔六个月。手术在左侧面临感染并发症，需要额外的治疗。尽管如此,患者获得了成功的矫正，伤口愈合和骨巩固。术前规划至关重要,确定每个膝盖的特定校正角度。与其他技术相比，反向V形截骨显示出令人满意的功能结果。结论强调了反向V型胫骨高位截骨术(HTO)治疗胫骨内翻畸形的有效性。在考虑全膝关节置换术之前提供替代方案。建议进行多中心研究和长期评估以完善该手术程序。
