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자료유형
학술저널
저자정보
저널정보
대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제28권 제4호
발행연도
2016.1
수록면
270 - 276 (7page)

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purpose: To evaluate the radiologic and functional outcomes of medial open wedge high tibial osteotomy (HTO) combined with arthroscopic procedure in patients with medial osteoarthritis. Materials and Methods: From June 1996 to March 2010, 26 patients (32 knees) who underwent medial open wedge osteotomy and arthroscopic operation for medial osteoarthritis were retrospectively reviewed. Measurements included hip-knee-ankle (HKA) angle, femorotibial angle, medial proximal tibial angle, posterior tibial slope angle, and Kellgren-Lawrence grade. Clinical evaluation was performed using Lysholm knee scoring scale and knee and function score of the American Knee Society.results: Differences between the mean preoperative and postoperative measurements were significant in all angles including the HKA angle (–5.7o and +5.5o), femorotibial angle (–1.9o and +9.8o), and medial proximal tibial angle (82.9o and 90.5o) (p<0.05). Mean Lysholm knee scoring scale was 63.6 preoperatively and 88.7 at the last follow-up, mean Knee Society knee score was 61.2 and 86.6, and mean function score was 59.3 and 87.2, respectively. All differences were significant (p<0.05).conclusions: Medial open wedge HTO in combination with arthroscopic procedure is an effective treatment method for medial osteoarthritis to treat varus deformity and an intra-articular lesion.

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