摘要
目的 :应用胫骨高位截骨术治疗膝内侧间室严重性关节炎并膝内翻畸形以缓解或消除关节疼痛 ,矫正畸形 ,恢复关节正常的生物力线排列。方法 :自 1992年 5月～ 1998年 2月应用胫骨高位截骨共施行手术 18例 (2 1膝 ) ,要求术前按适应证严格筛选病人 ,计算截骨角度。结果 :本组病人平均随访 3 .2年 ,按Coventry疗效评定 ,优 10例 ,良 7例 ,可 3例 ,差 1例。结论 :此手术可恢复内侧间室关节间隙及下肢正常生物力线 ,有利于退变软骨的恢复 。
Objective: High tibial osteotomy treated medial compartment serious osteoarthritis of the knee with varus deformity,and relieving arthritic pain,correcting deformity and normal femoraltibial axial alignment.Methods:From May 1992 to February 1998,18 cases(21 knees) were operated on,We chose fit patients and planed osteotomy angle.Results:All cases were followed up for an average 3.2 years,according to Coventry's rating system,81% of the whole series had a good or excellent results.Conclusion:It increases the medial joint space width and corrects femoraltibial axial alignment,allows for healing of the articular cartilage.Satisfactory results were obtained.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第1期38-39,共2页
Orthopedic Journal of China
关键词
胫骨高位截骨术
内侧间室
骨性关节炎
High tibial osteotomy(HTO)；Medial compartment；Osteoartbntis
