UPPER TIBIAL OSTEOTOMY FOR GONARTHROSIS WITH VARUS DEFORMITY - A REPORT OF 193 CASES REVIEWED 6 TO 10 YEARS POSTOPERATIVELY

被引：0

作者：

LOOTVOET, L ^{[1
]}

MASSINON, A ^{[1
]}

ROSSILLON, R ^{[1
]}

HIMMER, O ^{[1
]}

LAMBERT, K ^{[1
]}

GHOSEZ, JP ^{[1
]}

机构：

[1] CLIN ST LUC,SERV CHIRURG ORTHOPED,RUE ST LUC 8,B-5004 BOUGE,BELGIUM

来源：

REVUE DE CHIRURGIE ORTHOPEDIQUE ET REPARATRICE DE L APPAREIL MOTEUR | 1993年 / 79卷 / 05期

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D O I：

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中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The autors have analyzed the results of 193 tibial osteotomies with varus deviation reviewed after an average 8 year follow-up. There were 71 per cent of good results. 14 patients (7.2 per cent) were reoperated for unsuccessful osteotomy. The optimal postoperative tibio-femoral axial alignment was obtained between 3-degrees and 5-degrees valgus. The analysis of the series illustrates clearly the criteria of good results thus providing a guide to surgical indication. It is a question of the preoperative height of medial tibio-femoral space being higher or equal to 50 per cent of the normal, a constitutional tibial varus over 50, a preoperative mechanical axis of less or equal to a 100 varus, the absence of subluxation of the tibial eminences. Statistically the most important factor (p = 0.0004) was the height of the medial tibio-femoral space of which the decrease illustrates the stage of development of A.0. Finally, in the case of arthritic genu varum, the painful patello-femoral syndrome progresses favorably in the case of good surgical indication on the medial tibio-femoral compartment.

引用

页码：375 / 384

页数：10