Treatment for painful bone marrow edema by open wedge tibial osteotomy

被引：18
作者：
Kesemenli C.C. [1 ]
Memisoglu K. [1 ]
Muezzinoglu U.S. [1 ]
Akansel G. [2 ]
机构：
[1] Department of Orthopaedics and Traumatology, Kocaeli University School of Medicine, Umuttepe Kampusü
[2] Department of Radiology, Kocaeli University School of Medicine, Kocaeli
来源：
European Journal of Orthopaedic Surgery & Traumatology | 2013年 / 23卷 / 7期
关键词：
Bone marrow edema; High tibial osteotomy; Knee; Osteoarthritis;
D O I：
10.1007/s00590-012-1077-x
中图分类号：
学科分类号：
摘要：
We evaluated the results of patients who had undergone medial open wedge proximal tibial osteotomy, with painful bone marrow edema in the medial tibial plateau. The study included 21 patients who had presented with knee pain and whose MRIs showed bone marrow edema in medial plateau. The degree of osteoarthritis was evaluated radiologically according to the Kellgren-Lawrence criteria; 6 cases were Grade 1, 11 cases were Grade 2, and 3 cases were Grade 3. Preoperative varus angle was a mean of 2.19 (0-4). The bone marrow edema was classified according to the width of the lesions extending into the joint surface subchondral area on MRI T2 sequences. Open wedge osteotomy was performed in all patients. The postoperative results were evaluated by X-ray, MRI, and WOMAC (Western Ontario and McMaster Universities) knee scores. The preoperative 2.19 varus angle was evaluated postoperatively as valgus 6.57 (4-8) (p < 0.05). The postoperative WOMAC knee scores revealed a significant decrease in pain (p < 0.05). In conclusion, we are of the opinion that medial open wedge proximal tibial osteotomy is an effective treatment in patients who have painful bone marrow edema in medial tibia plateau. © 2012 Springer-Verlag.
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页码：825 / 829
页数：4
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