摘要
为确立“膝关节前内侧骨关节炎”这一诊断病名,作者对11例非固定膝内翻畸形患者的临床表现、术中观察及X片进行了检查分析,并将该组患者膝内、外侧关节间隙高度与同期患老年退变性骨关节炎组进行测量比较。结果发现内侧关节间隙高度该组显著小于“退变”组,差异有统计学差意义(P<0.01)。并发现该组软骨及骨侵蚀局限在内侧关节间隙胫骨平台的前部及中部,而后部软骨完整,所产生的膝内翻畸形仅在伸直位观察到,且可手法矫正。作者认为这是一种独特的临床病理类型,应诊为“膝关节前内侧骨关节炎”。本文对该型关节炎临床体征的产生机理及诊治方法作了阐述和探讨。
The authors made a review analysis of the clinical picture,the radiographic and anatomical findings of the non-fixed varus deformity at knee joints in 11 cases (14 knees).We propose the term anteromedical osteoarthritis of the knee for the disitnct clinicopathological entity described.In this cases the cartilage and bone erosion was centred anteriorly on the plateau and the posterior cartilage was intact.The varus deformity was observed only in the extended knee,and the deformity was correctable.In this paper,the authors discussed the diagnosis and treatment of the anteromedial osteoarthritis of the knee and described the mechanism responsible for clinical signs.
出处
《中国中医骨伤科》
1997年第3期17-20,共4页
Chinese Journal of Traditional Medical Traumatology & Orthopedics