Tjörnstrand B, Egund N, Hagstedt B, Lindstrand A
Arch Orthop Trauma Surg (1978). 1981;99(2):83-9. doi: 10.1007/BF00389742.
In a prospective series of 52 knees selected for high tibial osteotomy because of early medial arthrosis, special care was taken to obtain a final over-correction in valgus. The operative procedure and the pre- and post-operative radiographic examinations were standardized and the follow up was 1-3 years. 49 of the 52 knees had obtained a normal or over-corrected mechanical axis. 45 of these had improved painfree walking distance, and 31 were painfree. In 45 knees the arthrotic condition had not progressed, and in 5 of these there were signs of cartilage restitution. It is concluded that precise correction of medial gonarthrosis can be achieved, and this provides a rational basis for definitive treatment of early stages of this condition: for the majority an endoprosthesis operation should not be needed in the future.
在一项针对52例因早期内侧关节炎而选择进行高位胫骨截骨术的前瞻性研究中，我们特别注意在术后获得外翻的最终过度矫正。手术操作以及术前和术后的影像学检查均标准化，随访时间为1至3年。52例膝关节中有49例获得了正常或过度矫正的机械轴。其中45例无痛步行距离有所改善，31例无痛。45例膝关节的关节状况未进展，其中5例有软骨恢复的迹象。得出的结论是，可以实现内侧膝关节炎的精确矫正，这为这种疾病早期阶段的确定性治疗提供了合理依据：对于大多数人来说，未来应该不需要进行人工关节置换手术。
