CAJ | 학술논문

目的：应用胫骨高位截骨术治疗膝内侧间室严重性关节炎并膝内翻畸形以缓解或消除关节疼痛，矫正畸形，恢复关节正常的生物力线排列。方法：自1992年5月～1998年2月应用胫骨高位截骨共施行手术18例(21膝)，要求术前按适应证严格筛选病人，计算截骨角度。结果：本组病人平均随访3.2年，按Coventry疗效评定，优10例，良7例，可3例，差1例。结论：此手术可恢复内侧间室关节间隙及下肢正常生物力线，有利于退变软骨的恢复，疗效满意。
목적：응용경골고위절골술치료슬내측간실엄중성관절염병슬내번기형이완해혹소제관절동통，교정기형，회복관절정상적생물력선배렬。방법：자1992년5월～1998년2월응용경골고위절골공시행수술18례(21슬)，요구술전안괄응증엄격사선병인，계산절골각도。결과：본조병인평균수방3.2년，안Coventry료효평정，우10례，량7례，가3례，차1례。결론：차수술가회복내측간실관절간극급하지정상생물력선，유리우퇴변연골적회복，료효만의。
Objective: High tibial osteotomy treated medial compartment serious osteoarthritis of the knee with varus deformity,and relieving arthritic pain,correcting deformity and normal femoraltibial axial alignment.Methods:From May 1992 to February 1998,18 cases(21 knees) were operated on,We chose fit patients and planed osteotomy angle.Results:All cases were followed up for an average 3.2 years,according to Coventry's rating system,81% of the whole series had a good or excellent results.Conclusion:It increases the medial joint space width and corrects femoraltibial axial alignment,allows for healing of the articular cartilage.Satisfactory results were obtained.