胫骨高位截骨术治疗膝关节骨关节炎的长期随访  

A Long-Term Follow-up Study of High Tibial Osteotomy in Medial Compartment Osteoarthrosis

作　　者：周青[1] 张辉[2] 

机构地区：[1]上海第二医科大学附属新华医院骨科,200092 [2]泰山医学院附属医院骨科

出　　处：《中国矫形外科杂志》2000年第9期837-841,共5页Orthopedic Journal of China

摘　　要：目的 :为了观察胫骨高位截骨术治疗膝关节骨关节炎的远期治疗效果。方法 :作者随访了 1988～ 1997年10年间在新加坡中央医院行胫骨高位截骨术的 438名 (486膝 )膝关节骨关节炎的患者。结果 :手术后 5年内的优良率为 88.5 % ,手术后 5～ 10年的优良率为 6 1.9%。但在手术后仍有 18.9%的患者因治疗效果的下降须再次手术置换人工膝关节。结论 :我们认为胫骨高位截骨术虽然是治疗膝关节骨关节炎的一种有效手段 ,但远期仍有一部分患者因治疗效果下降须再次手术。Objective: In order to observe the long-term effect of high tibial osteotomy in treating the medial compartment osteoarthrosis of the knee.Methods:A retrospective study was made between 1988 and 1997,of 438 patients (486 knees) who had high tibial osteotomy in medial compartment osteoarthrosis at Singapore General Hospital.Results:88.5% good and excellent results up to five years postoperatively;at five to ten years,61.9% good and excellent.The revision rate in the post-operative was 18.9%. Conclusion:We believe that the high tibial osteotomy is one of good methods in treating the medial compartment osteoarthrosis of the knee.Postoperatively,a part of the patients had been revised to a total knee arthroplasty because of the bad effect.

关 键 词：胫骨高位 截骨术 膝关节骨关节炎 

分 类 号：R687.3[医药卫生—骨科学]