采用槽氏钢板做胫骨高位截骨术治疗内翻型膝关节骨关节炎

With Slotting Plate High Tibial Osteotomy for the Treatment of Osteoarthritis of the Knee with Genu Varum

目的 :观察采用槽氏钢板做胫骨高位截骨治疗内翻型膝关节骨关节炎疗效。方法 :术前对所有手术患者进行X线检查评估 ,测量全下肢立位力线 ,确定截骨矫正的角度 ,采用槽氏钢板做胫骨高位楔形截骨术矫正下肢力线。结果 :随访结果参考窦宝信标准进行评定 ,85 .8%疗效优良 ,理想的胫股角为 170°～ 172°。结论 :采用槽氏钢板内固定矫正下肢力线治疗内翻型膝关节骨关节炎 ,手术方法设计合理 ,矫正角度易掌握 ,矫形确切 ,内固定牢靠 ,截骨部位愈合好 。

Objective: To observe the curative effects of high tibial osteotomy with slotting plate for the treatment of osteoarthritis of the knee with genu varum.Methods:The general status of all patients were comprehensively evaluated.Their weight bearing lines of lower limbs were measured at standing positions in order to determine the angles of corrective osteotomy with high tibial osteotomy.Results:Evaluation was done according to the criterions made by Dou Baoxin 85.8% of curative effects were excellent and good,The ideal tibiofemoral angles were 170°～172° degree.Conclusion:With slotting plate fixation to correct the weight bearing line of lower limbs,with advantages of reasonable operative method,easy mastering of the angles of correction,and firm fixation and high union rate,is the best method to treat the osteoarthritis of the knee with genu varum.