膝内翻

Results Of the 5 cases of internal fixation failure,2 were caused by operative mistakes, 1 by wrong selection of internal fixators, 1 by too early weight-bearing,and 2 by postoperative infection;of the 11 cases of nonunion or delayed union, 5were caused by severe primary injury, and 4 by unsuccessful reduction.1 cases of pain were caused by evection of proximal LISS plate,and 1 postoperative infection due to improper emplacement of the plate during the operation resulted in long exposure of plate end.

结果：5例内固定物失效的病例中，2例由于手术操作失误，1例由于内固定物选择失误，1例由于术后负重过早，1例由于术后感染导致内固定物失效；11例骨折不愈合或延迟愈合的患者中，5例由于原始损伤严重，4例由于术中复位不佳引起不愈合或延迟愈合；1例LISS钢板近端突起于皮下引起疼痛，术后伤口感染，1例钢板近端长期外露，是由于术中钢板的放置位置不良；膝外翻畸形1例。

All patients were followed up for 12 months and showed no traumatic knee osteoarthritis, inversion or eversion of the knee.

随访12个月，未发生创伤性膝关节炎、膝关节内翻和外翻畸形。

In patients with knee OA and mild/moderate varus or valgus instability, a knee brace can reduce pain, improve stability and diminish the risk of falling.

轻中度外翻或内翻不稳定的膝骨关节炎患者，使用膝关节支架可减轻疼痛、改善稳定性和消除跌倒的危险。

The mean range of motion was improved from preoperative 84°(40°-95°) to postoperative 104°(80°-120°); the mean preoperative Knee Society Scores were increased from preoperative 39 scores (10-67 scores) to 87(10-100), and the function was improved from 38 scores (0-60 scores) to postoperative 76(20-100). Alignment was obtained in 31 knees, with well localized femoral and tibial prostheses. The tibial prosthesis of 1 case developed inadequate retroversion; of 2 cases remained 2°-3° inversion; non-progressive radiolucent zone was found between tibial prosthesis and bone interface of 1 case.

膝关节活动度从置换前平均84°(40°~95°)增加到置换后平均104°(80°~120°)，膝关节评分从置换前平均39分（10~67分），提高到随访时平均87分（10~100分），功能评分从置换前平均38分（0~60分）提高到随访时平均76分（20~100分）。31膝获得肢体的良好对线，股骨及胫骨假体位置良好。1例胫骨假体后倾不足，2例胫骨假体残留2°~3°内翻，1例胫骨假体与骨组织界面存在非进展性透亮带。

Alignment was obtained in 31 knees, with well localized femoral and tibial prostheses. The tibial prosthesis of 1 case developed inadequate retroversion; of 2 cases remained 2°-3° inversion; non-progressive radiolucent zone was found between tibial prosthesis and bone interface of 1 case.

膝关节活动度从置换前平均84°(40°~95°)增加到置换后平均104°(80°~120°)，膝关节评分从置换前平均39分(10~67分)，提高到随访时平均87分(10~100分)，功能评分从置换前平均38分(0~60分)提高到随访时平均76分(20~100分)。31膝获得肢体的良好对线，股骨及胫骨假体位置良好。1例胫骨假体后倾不足，2例胫骨假体残留2°~3°内翻，1例胫骨假体与骨组织界面存在非进展性透亮带。

Result］The main error of radiographic assessment was found in the less affected compartment and at superficial cartilage defects. Radiographs allowed preoperative assessment of the degree to which varus or valgus angular deformity was correctible.

结果］摄片组误差主要发生在对OA较少累及间室及较浅表的软骨缺损情况进行判定时，能够鉴别膝内/外翻崎形能否被动矫正。

But MRI can not predict if the preoperative varus/valgus deformities were correctible.

MRI判断Noyes ⅡB，ⅢA，ⅢB软骨缺损的准确率分别为66.7%， 75%和 65.5%，但不能判定膝内/外翻崎形能否被动矫正。

Radiographs allowed preoperative assessment of the degree to which varus or valgus angular deformity was correctible. the accuracies of the cartilage defects, which were noyes ⅱb,ⅲa,ⅲb, measured by mr imaging were 66.7%, 75% and 65.5%. but mri can not predict if the preoperative varus/valgus deformities were correctible.

结果］摄片组误差主要发生在对oa较少累及间室及较浅表的软骨缺损情况进行判定时，能够鉴别膝内/外翻崎形能否被动矫正。mri判断noyes ⅱb，ⅲa，ⅲb软骨缺损的准确率分别为66.7%， 75%和 65.5%，但不能判定膝内/外翻崎形能否被动矫正。

In patients with chronic posterolateral knee injuries, failure to correct genu varus alignment will often result in failure of the posterolateral knee repair or reconstruction.

对于慢性膝关节后外侧损伤的病人，膝内翻对线校正的失败往往会导致后外侧修复或重建的失败。

Proximal tibial opening wedge osteotomy can be an effective first method of treatment for patients with chronic combined posterolateral knee injuries and genu varus alignment.

胫骨近端开放楔形截骨术可能是治疗慢性后外侧缺损和膝内翻有效的初始方法。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。