Zhang G B
Department of Orthopedic Surgery, China-Japan Friendship Hospital, Beijing.
Zhonghua Wai Ke Za Zhi. 1993 Oct;31(10):596-8.
Twenty-eight cases (31 joints) with osteoarthritis of the knee associated with varus deformity were operated on by modified Koshino high tibial osteotomy. After operation 19 knee joints were followed up for more than one year (average 34.1 months). Eighteen knee joints had a satisfactory result, especially excellent are the pain relief and increment of walking ability. The operative procedures and surgical indication were described. The main factors affecting the curative effect of high tibial osteotomy on osteoarthritis of the knee, the advantages and disadvantages of this method were discussed.
对28例(31个关节)伴有内翻畸形的膝关节骨关节炎患者行改良Koshino高位胫骨截骨术。术后对19个膝关节进行了1年以上的随访(平均34.1个月)。18个膝关节效果满意,尤其是疼痛缓解和行走能力提高方面效果极佳。描述了手术步骤及手术适应证。讨论了影响高位胫骨截骨术治疗膝关节骨关节炎疗效的主要因素、该方法的优缺点。