CAJ | 학술논문

目的：探讨膝内侧胫骨结节上截骨与胫骨结节下截骨治疗膝关节单间室骨关节炎的临床疗效对比分析。方法从2006年6月至2013年6月期间，于我院行内侧胫骨高位截骨的病例中，随机抽取50例胫骨结节上截骨患者，50例胫骨结节下截骨患者，平均随访时间20.5个月，回顾分析其病例特点、HSS 评分、股胫角变化、髌骨高度变化，对比两种截骨方式的临床疗效。结果两种手术在矫正角度方面没有明显差异。然而，胫骨结节下截骨比胫骨结节上截骨术后矫正角度丢失的更少。胫骨结节下截骨对髌骨高度没有影响。结论对于膝关节内侧间室骨关节炎和内翻膝的治疗，胫骨结节下截骨比胫骨结节上截骨疗效更好。
목적：탐토슬내측경골결절상절골여경골결절하절골치료슬관절단간실골관절염적림상료효대비분석。방법종2006년6월지2013년6월기간，우아원행내측경골고위절골적병례중，수궤추취50례경골결절상절골환자，50례경골결절하절골환자，평균수방시간20.5개월，회고분석기병례특점、HSS 평분、고경각변화、빈골고도변화，대비량충절골방식적림상료효。결과량충수술재교정각도방면몰유명현차이。연이，경골결절하절골비경골결절상절골술후교정각도주실적경소。경골결절하절골대빈골고도몰유영향。결론대우슬관절내측간실골관절염화내번슬적치료，경골결절하절골비경골결절상절골료효경호。
Objective To compare the results of high tibial osteotomy above and below tibial tubercle for early unicompar-tmental knee osteoarthritis with varus. Methods This retrospective study included 100 patients with medial early unicompart-mental knee osteoarthritis with varus from June 2006 to June 2013. Fifty patients had high tibial open wedge osteotomy above the tibial tubercle(TT)(group I). And the other 50 had the osteotomy just below it(group Ⅱ). The two groups were matched. All patients were followed up radiographically and clinically for more than 20. 5 months,clinical and radiographic results of both groups were comparable. Results There was no significant difference in the amout of correction achieved by the two tech-niaques,however,in the amount of correction loss at final follow-up,with a significantly smaller correction loss being seen after osteotomy below tibial tubercle. The osteotomy below tibial tubercle did not change in patella height from preoperative to final follow-up. Conclusion This leads to the conclusion that the below TT osteotomy gives more advantages by effectively correc-ting the deformity without creating any new soft tissue or bony abnormalities to the knee.