Dae Kyung Bae;Kyung Ho Yoon;Myeung Cheol Shin;

• 1: 韩国首尔庆熙大学医学院矫形外科
• 2:韩国首尔庆熙大学医学院矫形外科
• 3:韩国首尔庆熙大学医学院矫形外科

摘要(Abstract)：

[目的]探讨胫骨近端截骨术治疗原发性胫骨近端骨性关节炎的远期疗效以及最佳的截骨矫正角度。[方法]自1985~1997年,79例(111膝)原发性骨性关节炎患者接受了胫骨近端截骨术。其中男5例(5膝),女74例(106膝);年龄37~70岁(平均55岁)。根据术后胫股角(FTA)分为3组。Ⅰ组61膝FTA<7°;Ⅱ组23膝FTA7°~9°;Ⅲ组27膝FTA≥10°。所有病例术前、术后按特种外科医院评分系统(HSS)评分。[结果]术后随访2年4个月~14年1个月(平均9年6个月)。术前HSS平均60分,术后1年平均94分,末次随访平均87分。采用2种方法判定手术失败:方法1为需行人工全膝关节置换术者,随访4年和14年手术成功率分别为99%和85%;方法2为需行人工全膝关节置换术者或术后HSS评分<60分,随访4年和14年手术成功率分别为96.4%和75.1%。[结论]胫骨近端截骨术是治疗单间室骨性关节炎的有效方法,但术后胫股角应矫正到外翻7°以上(范围10°~15°)。

关键词(KeyWords)： 胫骨;截骨术;近端

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): Dae Kyung Bae;Kyung Ho Yoon;Myeung Cheol Shin;

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参考文献(References)：

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