胫骨扭转：骨关节炎的原因还是结果？
Tibial torsion: cause or consequence of osteoarthritis?
作者信息
Bombaci Hasan, Kiliçoğlu Gamze, Onur Gökhan, Yanik Serhat, Görgeç Mücahit
机构信息
Department of Orthopedics and Traumatology, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
出版信息
Acta Orthop Traumatol Turc. 2012;46(3):181-5. doi: 10.3944/aott.2012.2751.
OBJECTIVE
The purpose of this study was to evaluate the relationship between torsional variations of the lower extremity and the development of medial osteoarthritis in the knee.
METHODS
Computed tomography measurements of the femoral and tibial torsion were evaluated in 21 lower extremities of 19 patients with primary bilateral gonarthrosis and compared with 14 lower extremities of eight normal individuals.
RESULTS
There was no statistically significant difference between lower extremities with and without gonarthrosis in terms of tibial torsion (26.20° ± 9.78° and 25.32° ± 11.50°,respectively), femoral torsion (15.89° ± 8.63° and 13.91° ± 7.26°, respectively) and tibiofemoral index (10.30° ± 13.06° and 11.39° ± 12.84°,respectively) (p>0.05).
CONCLUSION
We conclude that medial compartment osteoarthritis in the early arthritic period is not always associated with torsional deformities of the lower limb.
目的
本研究旨在评估下肢扭转变化与膝关节内侧骨关节炎发展之间的关系。
方法
对19例原发性双侧膝关节炎患者的21个下肢进行股骨和胫骨扭转的计算机断层扫描测量，并与8名正常个体的14个下肢进行比较。
结果
患膝关节炎和未患膝关节炎的下肢在胫骨扭转（分别为26.20°±9.78°和25.32°±11.50°）、股骨扭转（分别为15.89°±8.63°和13.91°±7.26°）以及胫股指数（分别为10.30°±13.06°和11.39°±12.84°）方面均无统计学显著差异（p>0.05）。
结论
我们得出结论，早期关节炎阶段的膝关节内侧间室骨关节炎并不总是与下肢扭转畸形相关。
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