Rand J A, Ritts G D
Department of Orthopaedic Surgery, Mayo Medical School, Rochester, Minnesota 55905.
J Arthroplasty. 1989;4 Suppl:S45-8. doi: 10.1016/s0883-5403(89)80006-3.
Eight patients with persistent pain after upper tibial osteotomy and correction of malalignment were treated with abrasion arthroplasty of the affected compartment. At 34-month follow-up examination, only one patient had significant lasting benefit. Five of the patients required subsequent total knee arthroplasty for relief of their pain. One patient was symptomatically unchanged, and one was awaiting total knee arthroplasty. The authors conclude that abrasion arthroplasty is not a satisfactory salvage for a failed upper tibial osteotomy.
8例胫骨上段截骨术及畸形矫正后仍持续疼痛的患者接受了患侧间室的磨锉关节成形术治疗。在34个月的随访检查中，只有1例患者有显著的持续改善。5例患者随后需要进行全膝关节置换术以缓解疼痛。1例患者症状无变化，1例正在等待全膝关节置换术。作者得出结论，磨锉关节成形术对于失败的胫骨上段截骨术而言并非令人满意的挽救措施。
