Kongcharoensombat W
Institute of Orthopaedics, Lerdsin Hospital, Bangkok, Thailand.
Malays Orthop J. 2014 Mar;8(1):50-5. doi: 10.5704/MOJ.1403.019.
This study was undertaken to determine clinical outcome after medial opening wedge osteotomy with Tlocking plate, with two- year follow up. Twenty-two patients (22 knees) who underwent medial opening wedge osteotomy with T-locking plate (stainless steel 316L, 6 holes) for treatment of varus malalignment of the leg between March 2005 and April 2008 were included in the study. The amount of correction ranged from 7° to 19° (mean, 9.77°). Clinical and radiographic findings were evaluated with VAS and the Lysholm score at sixth, twelfth and twenty- fourth months. Follow-up ranged from 18 to 37 months (mean, 2.1 years). Significant reduction was observed of VAS, from 4 (range: 3.5-5) to almost free of symptoms (1.0 to 0.5) at the twentyfourth month follow-up (P<0.01). Good results were achieved in the Lysholm score (P<0.01). Medial opening wedge osteotomy with T-locking plate is safe and efficient procedure for corrective varus deformity of knee.
High tibial osteotomy, T-locking plate , medial opening wedge osteotomy, varus deformity.
本研究旨在通过对采用T型锁定钢板进行内侧开口楔形截骨术的患者进行两年随访，以确定其临床疗效。本研究纳入了2005年3月至2008年4月间采用T型锁定钢板（不锈钢316L，6孔）进行内侧开口楔形截骨术治疗小腿内翻畸形的22例患者（22膝）。矫正角度范围为7°至19°（平均9.77°）。在第六、十二和二十四个月时，采用视觉模拟评分法（VAS）和Lysholm评分对临床和影像学检查结果进行评估。随访时间为18至37个月（平均2.1年）。在24个月随访时观察到VAS显著降低，从4分（范围：3.5 - 5分）降至几乎无症状（1.0至0.5分）（P<0.01）。Lysholm评分取得了良好结果（P<0.01）。采用T型锁定钢板的内侧开口楔形截骨术是治疗膝关节内翻畸形的一种安全有效的手术方法。
高位胫骨截骨术；T型锁定钢板；内侧开口楔形截骨术；内翻畸形
