O3262 LONG TERM RESULTS AFTER HIGH TIBIAL OSTEOTOMY FOR THE TREATMENT OF VARUS GONARTHROSIS
O3262 LONG TERM RESULTS AFTER HIGH TIBIAL OSTEOTOMY FOR THE TREATMENT OF VARUS GONARTHROSIS
复制标题
O3262 胫骨高位截骨术治疗内翻关节病后的长期结果
DOI：
--
复制
发表时间：
2004
期刊：
影响因子：
--
通讯作者：
W. Miehlke
中科院分区：
文献类型：
--
作者：
U. Munzinger;P. Frey;M. Huber;W. Miehlke
目的：我们的回顾性病例系列研究的目的是确定影响胫骨高位截骨术（HTO）长期结局的因素。方法：1984年至1990年间，164例患者接受了HTO治疗内侧单间室OA伴膝内翻畸形。所有HTO均采用改良的Weber和Coventry技术进行。由一名独立临床医生在平均13.5年的时间内对35例患者的39个膝关节进行了评估。患者进行了评估的膝关节协会的临床评分系统，并进行了一个完整的放射学examin. Results：从患者没有进一步的治疗功能评分的结果是优良的情况下，只有10.7%，在71.5%和公平。有17.8%的结果较差。与3 - 15年后的中期结果相比，10 - 15年后关节病的放射学证据有所进展。与仅因对线不良诱发OA而接受HTO的患者相比，既往接受过腰椎切除术的患者的功能评分在统计学上显著更差（p=0.05）。当截骨楔的尺寸大于20 i时，功能评分显著更差（p=0.049）。结论：本研究的长期结果证实，HTO治疗膝内翻关节病通常可获得较长时间（平均生存时间为11.5年）的疼痛减轻和大多数患者的良好功能。
Aims: The purpose of our retrospective case-series study was to determine factors that insuence the long-term outcome of high tibial osteotomy (HTO). Methods: Between 1984 and 1990, 164 patients received an HTO for medial unicompartmental OA associated with varus deformity of the knee. All the HTOs were performed with a modiþed technique of Weber and Coventry. 39 knees in 35 patients were assessed at an average time of 13.5 years by an independent clinician. Patients were evaluated by the Clinical Rating System of the Knee Society, and underwent a complete radiological exam. Results: The results of the function score from patients with no further treatment were good to excellent in 71.5% of the cases and fair in only 10.7%. There were 17.8% poor results. There was a progression in radiological evidence of arthrosis after 10 to 15 years compared to the mid-term results after three to þve years. Patients with a previous meniscectomy had a statistically signiþcant worse function score (p=0.05) than patients who underwent HTO only because of malalignment induced OA. When the size of the osteotomy wedge was bigger than 20i, there was a signiþcantly worse function score (p=0.049). Conclusion: The long-term results of this study conþrm, that treatment of varus gonarthrosis with HTO generally yield a long time (mean time of survival was 11.5 years) of pain-reduction and a good function for most of the patients.