Hagemann H, Schauwecker H H
Arch Orthop Trauma Surg (1978). 1979 Jan 29;93(2):117-23. doi: 10.1007/BF00389682.
In degenerative and posttraumatic osteoarthritis of the knee joint pain is a major indication for correctional osteotomy. In additon, the degree of arthrosis, axis deviation, range of motion and derangement of ligaments must be considered. In the cases reviewed supracondylar femur osteotomy, extraligamentar and high interligamentar osteotomy of the tibial head were utilized for correction. High tibial osteotomies were performed without using stabilizing plates. Autologous as well as homologous bone implants were added as needed. From the results presented we conclude, that the different methods of correctional osteotomies are equivalent, as long as the axis deviation, which is present in most cases, is corrected into a physiological valgus position. About 3/4 of the patient operated upon were improved as far as pain, range of motion and weigthbearing are concerned. Regression of the arthrotic structural changes could be demonstrated in a few cases only.
在膝关节退行性和创伤后骨关节炎中，疼痛是进行矫正截骨术的主要指征。此外，还必须考虑关节病的程度、轴偏差、活动范围和韧带紊乱情况。在所回顾的病例中，采用股骨髁上截骨术、胫骨头部的韧带外和高韧带间截骨术进行矫正。高位胫骨截骨术未使用稳定钢板。根据需要添加自体和同种异体骨植入物。从给出的结果我们得出结论，只要将大多数病例中存在的轴偏差矫正到生理外翻位置，不同的矫正截骨术方法是等效的。就疼痛、活动范围和负重而言，约3/4接受手术的患者病情得到改善。仅在少数病例中可证明关节结构变化有所消退。
