CAJ | 학술논문

目的：研究探讨股骨髁上杵臼截骨联合关节镜手术治疗成人膝关节外翻畸形的方法和有效性。方法：自2008年9月至2012年5月，对32例（35膝）成人膝关节外翻畸形患者行股骨髁上截骨术联合关节镜手术治疗。其中，男7例，女25例，平均年龄43岁，术前 HSS 评分平均60．46分，术前、术后拍摄负重位膝关节正侧位片及双下肢全长正位像，测量股骨角、股胫角并进行比较。术后平均12个月取出内固定并进行随访，了解畸形矫正变化、膝关节功能及骨愈合情况。结果：术后平均随访时间为24个月，所有患者外翻畸形均得到矫正，截骨端均愈合良好，膝关节功能明显改善，术后 HSS 评分平均85．40分。结论：股骨髁上杵臼截骨术联合膝关节镜手术治疗成人膝关节外翻畸形的治疗方法具有安全可靠、疗效确切、愈合优良的特点，是一种有效治疗膝关节外翻畸形的方法。
목적：연구탐토고골과상저구절골연합관절경수술치료성인슬관절외번기형적방법화유효성。방법：자2008년9월지2012년5월，대32례（35슬）성인슬관절외번기형환자행고골과상절골술연합관절경수술치료。기중，남7례，녀25례，평균년령43세，술전 HSS 평분평균60．46분，술전、술후박섭부중위슬관절정측위편급쌍하지전장정위상，측량고골각、고경각병진행비교。술후평균12개월취출내고정병진행수방，료해기형교정변화、슬관절공능급골유합정황。결과：술후평균수방시간위24개월，소유환자외번기형균득도교정，절골단균유합량호，슬관절공능명현개선，술후 HSS 평분평균85．40분。결론：고골과상저구절골술연합슬관절경수술치료성인슬관절외번기형적치료방법구유안전가고、료효학절、유합우량적특점，시일충유효치료슬관절외번기형적방법。
Objective To investigate the method and efficiency of supracondylar dome osteotomy of femur combined with arthroscopy for the treatment of the adult valgus deformity of knees. Methods From September 2008 to May 2012, 32 patients (35 knees) with valgus deformity of knees were treated with supracondylar dome osteotomy of femur combined with arthroscopy. The study group included 7 male and 25 female (average age: 43 years). The pre-operative HSS knee score was an average of 60.46. The weight-bearing knee joint AP & LAT and the full-length AP view of the lower extremity were examined before and after operation. At the same time , the femoral angle and femoral-tibial angle were measured and evaluated. The internal fixation was taken out in an average in 12 months. All the patients were followed-up and the change of the correction angles , the function of the knee and the condition of bone healing was recorded. Result The follow-up time was an average of 24 months. All the patients got a satisfied correction of the deformity, good bone union and obvious improvement of joint function. The postoperative HSS knee score was an average of 85.40. Conclusion The supracondylar dome osteotomy of femur combined with arthroscopy is a safe, reliable and effective strategy for the treatment of the adult valgus deformity of knees.