Kleinert B, Scheier H J, Munzinger U, Steiger U
Orthopade. 1985 Jun;14(3):154-60.
The subjective and objective results of infra-condylar tibia condyle osteotomy are presented, based on a study of 71 cases. Arthroplasty of the knee joint can often be avoided by performing an infra-condylar tibia condyle osteotomy, taking into consideration the contra-indications, in cases of painful (varus) gonarthrosis becoming mainly manifest in a joint compartment, combined with an axis shift. The gait capacity can be improved, the subjective pain symptomatology be diminished and progression of the arthrosis might be avoided. The good results correlate with an optimal correction of the axis condition; in cases of varus gonarthrosis a slight overcorrection beyond the physiological valgus position of 7 degrees and in cases of valgus gonarthrosis a physiological valgus position of 7 degrees should be aimed at.
基于对71例病例的研究,介绍了胫骨髁下截骨术的主观和客观结果。考虑到禁忌症,对于主要在关节腔表现为疼痛性(内翻)膝关节炎并伴有轴线偏移的病例,通过进行胫骨髁下截骨术通常可以避免膝关节置换术。步态能力可以得到改善,主观疼痛症状可以减轻,并且可以避免骨关节炎的进展。良好的结果与轴线状况的最佳矫正相关;在内翻膝关节炎的情况下,应轻微过度矫正至超过生理外翻7度的位置,在外翻膝关节炎的情况下,应达到生理外翻7度的位置。