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[伴有或不伴有软骨钙质沉着症的膝关节病行胫骨外翻截骨术。5年随访结果]

[Tibial valgization osteotomy in gonarthrosis with or without chondrocalcinosis. Results after 5 years].

作者信息

Job-Deslandre C, Languepin A, Benvenuto M, Menkès C J

机构信息

Service de Rhumatologie A, Hôpital Cochin, Paris.

出版信息

Rev Rhum Mal Osteoartic. 1991 Jul-Sep;58(7):491-6.

PMID:1925393
Abstract

The authors compare the results of valgisation tibial osteotomies in osteoarthrosis of the knee (146 cases) and osteoarthrosis of the knee with chondrocalcinosis (94 cases). The two groups were identical in terms of age, but differed by sex ratio (female predominance in CCA) and the initial radiological stage (more advanced forms in the CCA group). Results differed after the second year and reached significantly different values at 5 years (73% in knee osteoarthrosis as against 34% good clinical results in chondrocalcinosis). Study of two groups of patients paired for age, sex, weight and radiological stage showed that results at 5 years were significantly less good in the CCA group. These results are discussed and compared with those in the 1990 literature.

摘要

作者比较了膝关节骨关节炎(146例)和伴有软骨钙质沉着症的膝关节骨关节炎(94例)行胫骨外翻截骨术的结果。两组在年龄方面相同,但在性别比例(软骨钙质沉着症组女性居多)和初始放射学分期(软骨钙质沉着症组病情更严重)上存在差异。术后第二年两组结果出现差异,5年时差异显著(膝关节骨关节炎组临床效果良好的比例为73%,而软骨钙质沉着症组为34%)。对年龄、性别、体重和放射学分期相匹配的两组患者进行研究发现,5年时软骨钙质沉着症组的结果明显较差。本文对这些结果进行了讨论,并与1990年文献中的结果进行了比较。

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