摘要
目的 探索减少在矫治重度麻痹性屈膝畸形中常见的关节僵直、截骨端错位、神经损伤并发症的发生。方法 应用膝关节另压器对屈膝畸形〉４０°者３７例进行膝后软组织松解，髁上Ｖ型截骨、延迟缓慢矫正其屈曲度，早期膝关节功能锻炼。结果 截骨端平均愈合时间９周，无一例发生错位及神经麻痹症状，远期疗效评价优良率为７０％。结论 笔者认为本术式是重度麻痹性屈膝畸形安全有效的矫治方法，它减少了神经牵伤及截骨端错位的发生率，
Objetive:To lower the occurrence rate of complication such as arthrokleisis,dislocation of osteotomy ends and nerve damage in rectifving severe paralytic malformation of flexion knee.Methods:We selected 37 patients with flexion knee angle bove 40 degrees by using the knee joint compressive fixator,we put operation of loosing knee-back soft-tissue,V-supracondvlar osteotomy,rectifying the flexion degree gradually and early functional exercise of knee joint on them.Results:Among the patients,average recovery time of osteotomy ends was 9 weeks.No dislocation nor nerve paralysis happened.The excellent rate of long-term curative effect reached 70%.Conclussion:this operation is a safe and an effective one in treating severe paralytic malformation of flexion knee.Occurrence rate of neurotonic damage and dislocation of osteotomy ends can decrcease.The application of this operation is favourablc to carly functional exercise of knee joint and recover of osteotomy ends.
出处
《福建医药杂志》
CAS
2000年第4期5-6,共2页
Fujian Medical Journal
关键词
屈膝畸形
膝关节加压器
延迟矫正
Malformation of flexion knee Extermal fixation Gradual rectification
