Bhan S, Dave P K
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi.
Int Orthop. 1992;16(1):13-7. doi: 10.1007/BF00182977.
We report a statistical analysis of the results of 65 tibial osteotomies for primary osteoarthritis of the knee followed up at 3 and 5 years. Preoperative walking ability and the severity of pain are the factors with which the long term prognosis can best be correlated. The preoperative range of motion and mild subluxation become important at 5 years, but these factors were not important at 3 years. Mild instability did not have any influence. The severity of the osteoarthritis in radiographs and the postoperative femoro-tibial angle did not have any important association with the result. The results are therefore best predicted by preoperative pain and activity. The degree of correction did not affect the result.
我们报告了对65例因膝关节原发性骨关节炎而进行胫骨截骨术的结果进行的一项统计学分析，随访时间为3年和5年。术前步行能力和疼痛严重程度是与长期预后关联最为紧密的因素。术前活动范围和轻度半脱位在5年时变得重要，但这些因素在3年时并不重要。轻度不稳没有任何影响。X线片上骨关节炎的严重程度和术后股骨-胫骨角与结果没有任何重要关联。因此，术前疼痛和活动情况最能预测结果。矫正程度不影响结果。
