闭合楔形高位胫骨截骨术后全膝关节置换术的结果：40例病例回顾
Outcome of total knee arthroplasty following closing wedge high tibialosteotomy: a review of 40 cases.
作者信息
Naouar Nader, Kaziz Hamdi, Mouelhi Thabet, Triki Mohamed Amine, Bouattour Karim, Ben Ayeche Mohamed Laziz
出版信息
Tunis Med. 2018 May;96(5):293-297.
INTRODUCTION
Total knee replacement after high tibial osteotomy becomes more and more indicated. This intervention needs to identify some pearls and pitfalls.
AIM
To evaluate results of total knee arthroplasty after closing wedge high tibial osteotomy.
METHOD
Fourty total knee arthroplasty following closing wedge high tibial osteotomy were identified. Demographic features, tibiofemoral alignment and radiolucent lines were documented on postoperatively. Clinical and functional evaluations were performed preoperatively and postoperatively according IKSS score.
RESULTS
The average duration of follow-up was 11,5 years. The mean function score increased from 39 points to 70,4 points postoperatively. The mean knee score increased from 40 points to 84,9 points postoperatively. The mean average tibio-femoral angle was 177,7° in preoperatively and 178° (min 176°, max 185°) at the last follow-up.
CONCLUSION
The closing wedge high tibial osteotomy does not compromise subsequent total knee replacement. Knowing pearls and pitfalls lead to better outcome.
引言
高位胫骨截骨术后进行全膝关节置换术的情况越来越普遍。这种干预措施需要明确一些要点和陷阱。
目的
评估闭合楔形高位胫骨截骨术后全膝关节置换术的效果。
方法
确定了40例闭合楔形高位胫骨截骨术后的全膝关节置换病例。记录术后的人口统计学特征、胫股对线情况和透亮线。术前和术后根据IKSS评分进行临床和功能评估。
结果
平均随访时间为11.5年。术后平均功能评分从39分提高到70.4分。术后平均膝关节评分从40分提高到84.9分。术前平均胫股角为177.7°，最后一次随访时为178°（最小176°，最大185°）。
结论
闭合楔形高位胫骨截骨术不会影响随后的全膝关节置换。了解要点和陷阱会带来更好的结果。
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