Goutallier D, Delépine G, Debeyre J
Rev Chir Orthop Reparatrice Appar Mot. 1979 Jan-Feb;65(1):25-31.
The authors have treated 63 knees with osteoarthritis associated with varus deformity by valgus osteotomies. The clinical and radiological state of the patello-femoral joints has been studied before and after correction of varus deformity. No correlation was found between the severity of tibio-femoral osteoarthritis and patello-femoral osteoarthritis. Medial patello-femoral discordance was found in 12 p. 100 of the cases. Clinical evidence of pain arising from the patello-femoral joint was more often found than evidence of radiological abnormality. It is concluded that pain arising from the medial compartment may be confused with patellofemoral pain. A five-year follow-up showed that the patello-femoral joint was not influenced radiologically by the valgus osteotomy but patellar pain was improved in most of the cases. Procedures to re-align the patella should not normally be associated with valgus osteotomy in cases in which patellar pain exists in association with osteoarthritis of the knee with varus deformity.
作者采用外翻截骨术治疗了63例伴有内翻畸形的膝骨关节炎患者。在纠正内翻畸形前后，对髌股关节的临床和影像学状态进行了研究。未发现胫股骨关节炎的严重程度与髌股骨关节炎之间存在相关性。12%的病例存在内侧髌股关节不协调。髌股关节疼痛的临床证据比影像学异常证据更常见。结论是，内侧间室引起的疼痛可能与髌股关节疼痛相混淆。五年随访显示，外翻截骨术在影像学上对髌股关节没有影响，但大多数病例的髌骨疼痛有所改善。在伴有内翻畸形的膝骨关节炎合并髌骨疼痛的病例中，通常不应将髌骨重新对线的手术与外翻截骨术联合进行。
