臨床整形外科56巻9号

2021年09月発行

特集 膝周囲骨切り術を成功に導く基礎知識

歴史に学ぶ膝周囲骨切り術を成功に導くためのコツ

著者： 近藤英司¹

所属機関： ¹北海道大学病院スポーツ医学診療センター

ページ範囲：P.1115 - P.1124

　膝周囲骨切り術の最大の特徴は，関節温存ができる点にあり，これにより関節可動域も温存され，重労働やスポーツへの復帰も可能である．変形性膝関節症に対する膝周囲骨切り術は，高位脛骨骨切り術および大腿骨遠位骨切り術などがある．良好な成績獲得のためには，正しい適応，術前計画，正確な手術手技，後療法が必要であり，歴史からその合併症を学ぶことができる．現在，膝周囲骨切り術には多くの術式があり，新しい知見が多い分野である．本稿では，膝周囲骨切り術を成功に導くためのコツについて述べる．

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