高位胫骨截骨术后的长期疗效。
Long-term outcome after high tibial osteotomy.
作者信息
Gstöttner Michaela, Pedross Florian, Liebensteiner Michael, Bach Christian
机构信息
Department of Orthopedic Surgery, Medical University Innsbruck, Anichstrasse 35, 6020 Innsbruck, Tirol, Austria.
出版信息
Arch Orthop Trauma Surg. 2008 Jan;128(1):111-5. doi: 10.1007/s00402-007-0438-0. Epub 2007 Sep 8.
INTRODUCTION
The frequency of tibial osteotomy in the treatment of osteoarthritis of the knee has decreased due to the demanding surgical procedure and the rising number of total knee replacements (TKR). Only few data exist concerning survival rates after high tibial osteotomy (HTO) with a follow-up exceeding 10 years. We want to present long-term results with a follow-up of more than 18 years after operation.
MATERIALS AND METHODS
Survival rates and the influence of age, gender and the mechanical axis were investigated in 134 lateral closing-wedge osteotomies in 111 patients.
RESULTS
The survival rate was 94% after 5 years, 79.9% after10 years, 65.5% after 15 years, and 54.1% after 18 years. Age had a significant influence on the survival and gender and the mechanical axis had no significant influence.
CONCLUSION
We conclude, that with a 54.1% survival after 18 years HTO is a useful facility to protract the implantation of a total knee prosthesis.
引言
由于手术过程要求高以及全膝关节置换术（TKR）数量的不断增加，胫骨截骨术治疗膝关节骨关节炎的频率有所下降。关于高位胫骨截骨术（HTO）术后随访超过10年的生存率的数据很少。我们想要展示术后超过18年随访的长期结果。
材料与方法
对111例患者的134例外侧闭合楔形截骨术的生存率以及年龄、性别和机械轴的影响进行了研究。
结果
5年后生存率为94%，10年后为79.9%，15年后为65.5%，18年后为54.1%。年龄对生存率有显著影响，而性别和机械轴无显著影响。
结论
我们得出结论，18年后HTO的生存率为54.1%，它是延长全膝关节假体植入时间的一种有用方法。
Zotero 插件