Wohlfahrt A, Heppt P, Goldmann A, Wirtz P
Orthopädische Universitätsklinik Erlangen.
Z Orthop Ihre Grenzgeb. 1991 Jan-Feb;129(1):72-9. doi: 10.1055/s-2008-1040163.
91 high tibial valgus barrel-vault osteotomies were subject of a follow-up study from 10 to 19 years (phi 11.9) after the osteotomy. 20 of the patients rate themselves as excellent, 29 as good, 22 as poor and 22 as failed. Adipositas was a factor that mainly worsened the results. Furthermore a postoperative flexion deformity and preoperative joint-space-narrowing were negative conditions, too. A slight overcorrection, more than the physiological valgus proved to be advantageous. The results were not influenced by age, sex and preoperative radiographic stage and range of motion. In summary the osteotomy has been shown to be a successful measure to prolong the period until final destruction of the knee joint will happen.
91例高位胫骨外翻桶状截骨术患者在截骨术后10至19年（平均11.9年）接受了随访研究。20例患者自我评估为优，29例为良，22例为差，22例为失败。肥胖是主要使结果恶化的一个因素。此外，术后屈曲畸形和术前关节间隙变窄也是不利情况。轻微过度矫正，超过生理性外翻，被证明是有利的。结果不受年龄、性别、术前影像学分期和活动范围的影响。总之，截骨术已被证明是一种成功的措施，可延长膝关节最终破坏发生前的时间。
