胫骨高位截骨术治疗膝关节骨性关节炎报告

High Tibial Osteotomy for Osteoarthritis of the Knee

我科于 1 997年～ 2 0 0 3年应用膝关节外固定加压融合器行高位胫骨截骨术 (HTO)治疗伴有膝内翻畸形的骨性关节炎 1 0例 1 0膝 ,并随访 6个月～ 5年 ,平均 3年 9个月。术后结果 ,股胫角 (FTA)由术前平均 1 84 .7°矫正到平均 1 70 .3° ,评分由术前平均 4 7分 ,增加到平均 85分。手术采用胫骨楔形截骨、双斯氏针加压外固定、胫骨远端前移 1cm ,以改善髌股关节的负重关系。结论 :手术简单 ,止痛效果好 。

s Between 1997 and 2003,high tibial osteotomy was performed by using exter-nal fixatr on 10 patiendts 10 kneesfor genu varus sepueatial to osteoarthritis.All of 10 pa-tients were followed-pu for 6 months to 5 years with an average of 3.9 years.After oper-ation FTA was corrected from average 184.7° to 170.3°.After osteotomy,all patients showed satisfactory results,the evaluation scores of knee joint function increased from aver-age 47 points to average 85.