胫骨高位截骨术后全膝关节置换的疗效分析(英文)

Results of total knee arthroplasty after high tibial osteotomy

[目的]目前采用胫骨高位截骨术治疗膝关节内侧间室骨性关节炎已在临床广泛开展,对于其中预后不佳者可采用全膝关节置换,本文对其临床效果进行分析。[方法]对38例胫骨高位截骨术后接受全膝关节置换术患者进行回顾分析。术后随访时间平均8年,对其中期疗效进行评估。[结果]特种外科住院评分由术前平均39分提高到术后平均86.5分。优良率达87%。[结论]与未接受过胫骨高位截骨术患者相比,胫骨高位截骨术后接受全膝关节置换的中期疗效令人满意。

[ Objective] High tibial osteotomy is a well accepted procedure for medial compartment osteoarthritis of knees. Over time its results deteriorate and some patients were reoperated with a total knee arthroplasty. To evaluate the results of total knee arthroplasty after a high tibial osteotomy. [ Method ] Thirty - eight knees were evaluated retrospectively for the results of a total knee arthroplasty after a high tibial osteotomy. They were followed up for an average of 8 years and the mid term results assessed. [ Result ] The average Hospital for special surgery score increased to 86. 5 points from 39 points pre - operatively. There were 87 % excellent and good results. [ Conclusion] Mid term results of total knee arthroplasty after high tibial osteotomy are excellent and are comparable to those without a tibial osteotomy.