けい骨高原骨折後変形治癒に対する治療―イリザロフ創外固定器を用いた変形矯正術―:—イリザロフ創外固定器を用いた変形矯正術—

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Tibial plateau fractures are difficult to treat and often result in malunion which involves persistent varus or valgus deformities of the knee and causes many disabilities. We report two cases, a 61-year-old man and a 58-year-old man. Average follow-up period after varus correction was seven months, without complication. They were suffered tibial plateau fractures of their right knees, in traffic accidents. Both fractures were total depression type according to Hohl's revised classification. The first case was treated initially with casting. The second case was treated by open reduction and the internal fixation. However, during the initial surgical follow-up period, malunion of the right knee occurred, and the patients complained of gait disturbance. We realigned these varus deformities using the focal dome osteotomy reported by Paley, et al with the Ilizarov external fixator. We achieved complete realignment of the proximal and distal tibial axes. In both cases, correction with bone union was satisfactory. The patients' gait disturbance, and the limitation of the range of motion of the knee completely resolved.
中国・四国整形外科学会の論文