Haddad F S, Bentley G
The Institute of Orthopaedics, Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, United Kingdom.
J Arthroplasty. 2000 Aug;15(5):597-603. doi: 10.1054/arth.2000.6621.
A total of 50 consecutive knee arthroplasties in 42 patients who had undergone previous high tibial osteotomies have been reviewed with a minimum follow-up of 5 years and compared with 50 age-matched and sex-matched primary total knee arthroplasties. There were no significant preoperative differences between the 2 groups. Surgery in the osteotomy group took on average 23 minutes longer (P < .02), and there was a decrease of 80 flexion postoperatively but without an associated difference in knee scores. Patellar subluxation was also seen more frequently (P < .05). There was no difference in the revision rate at an average follow-up of > 6.2 years. Although there are significant technical difficulties and subtle clinical differences, the overall outcome remains good to excellent in most cases.
对42例曾接受过高位胫骨截骨术的患者连续进行的50例膝关节置换术进行了回顾，随访时间最短为5年，并与50例年龄和性别匹配的初次全膝关节置换术进行了比较。两组术前无显著差异。截骨术组的手术平均时间长23分钟（P <.02），术后屈曲度下降80，但膝关节评分无相关差异。髌骨半脱位也更常见（P <.05）。平均随访> 6.2年时，翻修率无差异。尽管存在重大技术困难和细微临床差异，但大多数病例的总体结果仍然良好至优秀。
