Papadopulos J S
Medizinische Fakultät, Univ. Athen.
Z Orthop Ihre Grenzgeb. 1991 Jan-Feb;129(1):65-71. doi: 10.1055/s-2008-1040162.
57 patients (15 males and 42 females) with osteoarthrosis and/or pathological statics of the knee were examined clinically and radiographically. The question was whether pathological statics (genu varum) act significantly in the pathogenicity of the condition.
a) In a large number of cases it was impossible to determine whether the static deviation were the cause of the osteoarthrosis or whether the reverse were the case. b) The frequency of development of osteoarthrosis in knees with pathological statics was not greater than in those with normal statics. c) The topography of the osteoarthrosis, which one would expect to be a function of the direction of static deviation, was not more frequent in genu varum than in statically normal knees. d) In unilateral genu varum, in some cases the same degree and topography of osteoarthrosis was observed in both knees. e) In a sufficient number of cases, the amount of osteoarthrosis was minimal in relation to the degree of static deviation. f) In genu varum, a deviation was located in the proximal portion of the tibia, whereas in genu valgum, the deviation was located in the distal portion of the femur. The findings "b, c, e" were verified statistically. These findings raise doubts as to the aetiology of pathological statics in the pathogenicity of osteoarthrosis of the knee. Pathological statics alone are not sufficient and probably require other factors for the development of osteoarthrosis.
对57例患有骨关节炎和/或膝关节病理静力状态的患者（15名男性和42名女性）进行了临床和影像学检查。问题在于病理静力状态（膝内翻）在该病症的发病机制中是否起显著作用。
a）在大量病例中，无法确定静力偏差是骨关节炎的病因还是相反情况。b）存在病理静力状态的膝关节中骨关节炎的发生率并不高于静力状态正常的膝关节。c）预期骨关节炎的部位会是静力偏差方向的函数，但膝内翻中骨关节炎的部位并不比静力状态正常的膝关节更常见。d）在单侧膝内翻病例中，有时双膝会出现相同程度和部位的骨关节炎。e）在足够数量的病例中，相对于静力偏差程度，骨关节炎的程度极小。f）在膝内翻中，偏差位于胫骨近端，而在膝外翻中，偏差位于股骨远端。研究结果“b、c、e”经过统计学验证。这些结果对膝关节骨关节炎发病机制中病理静力状态的病因提出了质疑。仅病理静力状态是不够的，骨关节炎的发展可能还需要其他因素。
