Magyar G, Toksvig-Larsen S, Lindstrand A
Department of Orthopedics, University Hospital, Lund, Sweden.
Acta Orthop Scand. 1998 Apr;69(2):147-51. doi: 10.3109/17453679809117616.
Proximal tibial osteotomy is indicated in cases of medial gonarthrosis with varus deformity in the active, younger patient. We report our experience of the hemicallotasis technique in 36 patients and the early clinical results after a median follow-up of 14 (11-16) months. The median patient age was 54 (33-64) years. The median hip-knee-ankle (HKA) angle was 172 (161-179) degrees preoperatively, 184 (178-187) degrees after completed correction and 183 (175-190) degrees at follow-up. The median fixation time was 88 (61-146) days. Complications were minor. Superficial pin-site inflammation/infections occurred in one fifth of the pins. The HSS score increased from a median 71 preoperatively to 94 at follow-up, the Lysholm score from 56 to 91 and the Tegner activity score from 6 to 10. The Nottingham Health Profile showed significant improvements as regards pain and physical mobility.
对于活跃的年轻内侧膝关节骨性关节炎伴内翻畸形患者，胫骨近端截骨术是适用的。我们报告了36例患者采用半环形骨痂延长技术的经验以及中位随访14（11 - 16）个月后的早期临床结果。患者中位年龄为54（33 - 64）岁。术前髋 - 膝 - 踝（HKA）角中位值为172（161 - 179）度，矫正完成后为184（178 - 187）度，随访时为183（175 - 190）度。中位固定时间为88（61 - 146）天。并发症轻微。五分之一的钢针出现浅表针道炎症/感染。HSS评分从术前中位值71提高到随访时的94，Lysholm评分从56提高到91，Tegner活动评分从6提高到10。诺丁汉健康量表在疼痛和身体活动能力方面显示出显著改善。
