(medialproximaltibialangle,MPTA)<85°;外侧软骨和半月板功能正常;韧带存在,无关节不稳。PatientSelection:developedbyISAKOS(InternationalSocietyofArthroscopy)moderatelyactivehigh-demand(butnotjumpingorrunning)young(between40-60yearsold)endernessBMI<30,malalignment<15°,tibiabonevarusangle(TBVA)>5°fullrangeofmotion(ROM)near-partments,withoutligamentousinstabilitynon-smokersomelevelofpaintolerance7ppt课件HTO禁忌症(Contraindications)合并有膝关节外侧间室软骨退变,髌股关节软骨退变;屈膝挛缩>15°;膝关节不稳;炎症性关节炎;Contraindications:partment(AhlbackgradeⅢ,orhigher)partmentalOA,patellofemoralOAROM<120°andflexioncontracture>5°inflammatoryarthritislargeareaofesposedboneontibialandfemoralarticularsurface(>15*15mm)heavysmokers8ppt课件HTO与单髁置换术(UKA)适应症区分9ppt课件HTO的成功需包含以下三大要素1.适当的患者选择(rightpatientselection)2.安全准确的手术技术(urateoperation)3.可靠的内固定(stableinternalfixation)10ppt课件
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