The Treatment of Spontaneous Osteonecrosis of the Knee by High Tibial Osteotomy.
スポンサーリンク
概要
- 論文の詳細を見る
Spontaneous osteonecrosis of the knee occurs with sharp pain, showing charactaristic radiographic images of femoral medial condyle. We have chosen high tibial osteotomy (HTO) for this disease. In this report, we comparatively assessed the therapeutic result of HTO for spontaneous osteonecrosis of the knee and that for osteoarthritis of the knee (OA).Fourteen osteonecrosis patients(14 knees) who underwent HTO between October 1982 and October 1993 were enrolled in the study. All were spontaneous cases occurring in the femoral medial condyle. Radiographic changes of the necrotic area, variations in femorotibial angle and those at Mikulicz-line passing point on frontal X-rays of the bilateral lower limbs in a standing position at the preoperative and final examinations were investigated. Furthermore, changes in clinical results shown by a three-university tentative assessment plan were also reviewed. Ten patients (10 knees) followed for over a year were compared with HTO-performed 162 patients for medial knee OA followed for over a year. The necrotic area disappeared in half of the patients, and was unchanged in the other half. The osteonecrosis group showed better clinical results than the OA group. Recently, total or unicompartmental knee arthroplasty has been increasingly performed. We, however, recomfirmed, despite the small number of subjects, that HTO was the first-choice surgical technique for spontaneous osteonecrosis of the knee.
- 中国・四国整形外科学会の論文
中国・四国整形外科学会 | 論文
- A Follow-up Study of the Avulsion Fractures of the Tibial Tuberosity in Adolescents.
- Clinical Results of Osteosynthesis for Intracapsular Fracture of the Femoral Neck.
- The Treatment of Cervical Spondylotic Radiculopathy.
- Lumbar Disc Herniation with Dysuria.
- Magnetic Resonance Imaging of Rheumatoid Wrists.