Low tibial osteotomy for varus-type osteoarthritis of the ankle

被引:274
作者
Tanaka, Y. [1 ]
Takakura, Y. [1 ]
Hayashi, K. [1 ]
Taniguchi, A. [1 ]
Kumai, T. [1 ]
Sugimoto, K. [1 ]
机构
[1] Nara Med Univ, Dept Orthopaed Surg, Nara 6348522, Japan
来源
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2006年 / 88B卷 / 07期
关键词
D O I
10.1302/0301-620X.88B7.17325
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
In this retrospective study we have assessed the results of low tibial valgus osteotomy for varus-type osteoarthritis of the ankle and its indications. We performed an opening wedge osteotomy in 25 women (26 ankles). The mean follow-up was for eight years and three months (2 years 3 months to 17 years 11 months). Of the 26 ankles, 19 showed excellent or good clinical results. Their mean scores for pain, walking, and activities of daily living were significantly improved but there was no change in the range of movement. In the ankles which were classified radiologically as stage 2 according to our own grading system, with narrowing of the medial joint space, and in 11 as stage 3a, with obliteration of the joint space at the medial malleolus only, the joint space recovered. In contrast, such recovery was seen in only two of 12 ankles classified as stage 3b, with obliteration of the joint space advancing to the upper surface of the dome of the talus. Low tibial osteotomy is indicated for varus-type osteoarthritis of stage 2 or stage 3a.
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页码:909 / 913
页数:5
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