胫骨高位截骨手术治疗膝内翻型骨性关节炎长期随访分析

Long-term follow-up and analysis of high tibialosteotomy in the treatment of varus knee osteoarthritis

[目的]评价胫骨高位截骨手术治疗内翻型膝骨性关节炎的长期临床疗效.[方法]102人（120膝）行胫骨高位截骨手术的内翻型膝骨性关节炎患者,其中男18人（24膝）,女84人（96膝）;年龄35～65岁（平均52.32岁）.[结果]随访91例,随访时间10年2个月～21年9个月（平均15年1个月）,采用HSS膝关节评分标准,术后半年、1、2、5、10、15年的优良率分别为：98%、98%、98%、96%、78%、57%.[结论]胫骨高位截骨手术治疗内翻型膝骨性关节炎早期治疗效果较好,超过15年后疗效明显降低.此手术能为日后可能需要行全膝关节置换手术争取了时间.

[ Objective] To evaluate long-term therapeutic effect of high tibial osteotomy HTO in the treatment of varus knee osteoarthritis. [Method] Eighteen males （twenty four knees） and eighty four females （ninety one knees） were accept HTO, patients were from thirty-five to sixty-five years, with average age 52. 32 （35 -65） years. [Result] Ninety one knees were followed up from 10 years and 2 months to 21 years and 9 months, average 15 years and 1 month. HSS criterionwas used as evaluation standard, the ratio of excellent and good post operation 0. 5 year, 1 year, 2, 5, 10, 15 years were 98% , 98%, 98%, 96%, 78%, 57%. [ Conclusion] The therapeutic effect of HTO is good in the first 15 years, but it obviously degrade after 15 years, and HOA can work against time for prolongation of period before the possible later total knee replacement.