Tohyama H, Yasuda K, Kaneda K
Department of Orthopaedic Surgery, Hokkaido University School of Medicine, Sapporo, Japan.
Int Orthop. 1991;15(1):31-3. doi: 10.1007/BF00210530.
Sixty-two patients with early medial compartment osteoarthritis of the knee were treated with lateral heel wedges and followed for from 7 years and 5 months to 12 years. Those who were treated with heel wedges and analgesics showed a significantly greater improvement in pain score than those treated with analgesics only, but not in the walking ability score at the second follow up. The lateral heel wedge had no effect on the progress of the radiographic changes. The lateral heel wedge is useful for patients with early medical compartment osteoarthritis provided it is used with an understanding of the indications and its limitations.
62例膝关节内侧间室早期骨关节炎患者接受了外侧足跟楔形鞋垫治疗，并随访了7年5个月至12年。接受足跟楔形鞋垫和镇痛药治疗的患者在疼痛评分上的改善明显大于仅接受镇痛药治疗的患者，但在第二次随访时步行能力评分上没有差异。外侧足跟楔形鞋垫对影像学改变的进展没有影响。外侧足跟楔形鞋垫对于早期内侧间室骨关节炎患者是有用的，前提是要了解其适应证和局限性。
