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矫正性截骨术治疗内翻关节炎性膝关节畸形的结果。

The results of corrective osteotomy for valgus arthritic knees.

机构信息

Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, 7 Keren Kayemet St, 49372, Petach-Tikva, Israel.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):49-56. doi: 10.1007/s00167-012-2180-6. Epub 2012 Sep 1.

Abstract

PURPOSE

To evaluate the results of corrective varus osteotomy in the treatment of arthritic knees with valgus deformity.

METHODS

The data were retrieved from a literature review. Each relevant study was screened for demographic details, surgical techniques, follow-up periods, clinical outcomes, and complications.

RESULTS

A total of 27 publications describing the results of varus osteotomies for valgus arthritic knees were reviewed. All were small case series studies, variable in their patient population, surgical techniques, rehabilitation protocols, follow-up periods, clinical assessments and were categorized as level IV of scientific evidence.

CONCLUSION

The role of varus osteotomy remains poorly defined. The literature generally supports this procedure in active and cooperative patients to reduce pain and delay the need for knee replacement. New techniques hold promising results regarding shortening of rehabilitation time and low reoperation and complication rates.

LEVEL OF EVIDENCE

IV.

摘要

目的

评估矫正内翻截骨术治疗外翻畸形关节炎膝关节的疗效。

方法

数据来自文献回顾。对每一项相关研究的人口统计学资料、手术技术、随访时间、临床结果和并发症进行筛选。

结果

共 27 篇描述了用于治疗外翻性关节炎膝关节的内翻截骨术的结果的文献被回顾。所有研究均为小型病例系列研究,患者人群、手术技术、康复方案、随访时间、临床评估各不相同,被归类为 IV 级科学证据。

结论

内翻截骨术的作用仍未明确。文献普遍支持该手术应用于积极、配合的患者,以减轻疼痛,延缓膝关节置换的需求。新技术在缩短康复时间、降低再手术率和并发症率方面有较好的结果。

证据等级

IV 级。

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