Summary

Combined Supracondylar Dome Osteotomy of Femur with Arthroscopy in The Treatment of The Adult Valgus Deformity of Knees

Abstract

Objective

To investigate and research the curative effect of supracondylar osteotomy
of femur combined with arthroscopy of the knee for the treatment of the valgus
deformity of knees.

Methods

Choicing 32 patients (35 knees) with valgus deformity of knees were treated
with supracondylar osteotomy of femur combined with arthroscopy of knee from
September 2008 to May 2012.The average age was 35 years consisted of 7 male (8
knees) and 25 female (27 knees).All the people in the study group were test by HSS
knee score system pre-operative,and the result of the test score was an average of
60.46.The routine examination include knee joint AP & LAT and full-length AP view
of the lower extremity X-ray before and after operation and the set of the methods
of the X-ray examination was the same. All the people’s the femoral angle and
femoral-tibial angle were measured according to the X-ray view after the
examination in this study group. After the operation the internal fixation was taken
out in an average of 12 months and the study group was followed-up in 24 months.
All the condition of the patients was recorded in the 24 months.
Result We followed all the people in this study group in an average of 24 months.The
follow-up time was an average of 24 months. The result showed that all the
deformity was effectively correct,All the bone was very well connected and all the
knee joint function was obviously improved. The affected side knee’s HSS score was
an average of 85.4 after the operation.

Conclusion

The supracondylar dome osteotomy of femur combined with arthroscopy
is a safe , scientific and effective strategy in the treatment of the valgus deformity of
knees.