Step-cut tibial tubercle osteotomy for access in revision total knee replacement

被引：30

作者：

van den Broek, C. M.

van Hellemondt, G. G.

Jacobs, W. C. H.

Wymenga, A. B.

机构：

[1] Sint Maartensklin, Dept Orthopaed, NL-6500 GM Nijmegen, Netherlands

[2] Sint Maartensklin, Orthopaed Res Unit, NL-6500 GM Nijmegen, Netherlands

来源：

KNEE | 2006年 / 13卷 / 06期

关键词：

tibial tubercle osteotomy; revision TKA; exposure; step-cut; approach;

D O I：

10.1016/j.knee.2006.07.003

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

In this retrospective cohort, the results of step-cut tibial tubercle osteotomy (TTO) in 39 revision total knee arthroplasty, using the Continuum Knee System (CKS), are determined. In 39 revision, total knee arthroplasties, adequate exposure was obtained after step-cut TTO. All knees were recently reviewed for clinical and radiological results. Symptomatic TTO-related complications occurred in three out of 39 patients. Two patients had proximal migration of the tibia] tubercle due to an insufficient step-cut. Another patient had posttraumatic avulsion of the tibial tubercle. No TTO-related extensor lag or tibial fracture occurred. We conclude that, when adequate exposure cannot be obtained, step-cut TTO is a safe and reproducible procedure if strict attention is paid to technique and fixation. It does not compromise the functional results of TKA. (c) 2006 Elsevier B.V All rights reserved.

引用

页码：430 / 434

页数：5

共 18 条

[1] Lateraler Zugang zum Kniegelenk mit Osteotomie der Tuberositas tibiaeLateral approach to the knee combined with an osteotomy of the tibial tuberosity. Its use for total knee replacement [J].