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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 17 - 22 (6page)
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Purpose: The purpose of this study is to compare the clinical and radiographic outcomes of high tibial osteotomy (HTO) and unicompartmental arthroplasty (UKA) in advanced medial compartment arthritis accompanied by kissing lesions in relatively young patients. Materials and Methods: Forty-five patients were divided into the HTO (n=23) and UKA (n=22) groups. Clinically, we evaluated the Lysholm knee scoring scale, visual analogue scale, Hospital for Special Surgery, and Western Ontario and McMaster Universities Osteoarthritis index scores preoperatively, 6 and 12 months postoperatively, and at the final follow-up. Radiographically, we measured the femoral-tibial angle and mechanical axis deviation preoperatively and at the final follow-up. Results: All clinical outcomes gradually improved in both groups from the postoperative period to the final follow-up. At the final follow-up, all clinical outcomes were slightly better in the UKA group than in the HTO group; however, differences were not statistically significant. Conclusions: HTO is comparable to UKA in terms of clinical outcomes. Thus, the results of this study suggest that HTO might be a good alternative treatment to UKA for medial unicompartmental arthritis accompanied by kissing lesions in relatively young patients.
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참고문헌 (30)
참고문헌 신청
Billings A / 2000 / High tibial osteotomy with a calibrated osteotomy guide, rigid internal fixation, and early motion: long-term follow-up / J Bone Joint Surg Am 82:70~79
Murphy SB / 1994 / Tibial osteotomy for genu varum. Indications, preoperative planning, and technique / Orthop Clin North Am 25:477~482
Weale AE / 2001 / High tibial osteotomy using a dynamic axial external fixator / Clin Orthop Relat Res (382):154~167
Naudie D / 1999 / The Install Award: survivorship of the high tibial valgus osteotomy: a 10- to -22-year followup study / Clin Orthop Relat Res (367):18~27
Preston S / 2014 / Total knee arthroplasty after high tibial osteotomy: no differences between medial and lateral osteotomy approaches / Clin Orthop Relat Res 472:105~110
Murphy SB / 1994 / Tibial osteotomy for genu varum. Indications, preoperative planning, and technique / Orthop Clin North Am 25:477~482
Weale AE / 2001 / High tibial osteotomy using a dynamic axial external fixator / Clin Orthop Relat Res (382):154~167
Naudie D / 1999 / The Install Award: survivorship of the high tibial valgus osteotomy: a 10- to -22-year followup study / Clin Orthop Relat Res (367):18~27
Preston S / 2014 / Total knee arthroplasty after high tibial osteotomy: no differences between medial and lateral osteotomy approaches / Clin Orthop Relat Res 472:105~110
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