《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (05): 423-424.

• 临床研究 • 上一篇    下一篇

两种内固定方法治疗伴膝内翻的膝骨性关节炎的对比研究

任大江1,2; 李放2; 崔赓3; 王全贵2; 张志成2; 吴长青2; 徐娟娟2   

  1. 1.第四军医大学 陕西西安市 710032;2.解放军北京军区总医院全军骨科中心 北京市 100700;3.解放军总医院骨科 北京市 100853
  • 收稿日期:2006-03-27 出版日期:2006-05-25 发布日期:2006-05-25

Comparison of Two Kinds of Internal Fixation after High Tibia Osteotomy for the Treatment of Osteoarthritis of Knee with Genu Varus Deformity

REN Da-jiang, LI Fang, CUI Geng, et al   

  1. the Fourth Military Medical University ,Xi'an 710032, Shaanxi, China
  • Received:2006-03-27 Published:2006-05-25 Online:2006-05-25

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被引次数

4

摘要： 目的对比改良Giebel钢板与骑缝钉内固定在胫骨高位截骨术治疗成人骨性关节炎伴膝内翻中的疗效及预后。方法对比1999年8月～2003年8月以来接受胫骨高位截骨的32例37膝,骑缝钉内固定25膝,Giebel内固定12膝。结果所有病例均获得随访,无1例不愈合,统计学结果显示两种内固定方法在骨折临床愈合时间及HSS评分增加值方面无显著性差异。结论两种内固定方法均具有满意的疗效。改良Giebel钢板还允许肢体进行早期功能锻炼。

关键词: 骨性关节炎, 膝内翻畸形, 胫骨高位截骨, 内固定, 改良Giebel钢板, 骑缝钉

Abstract: ObjectiveTo compare the effect and prognosis of two kinds of internal fixation (improved Giebel blade plate and traditional straddle nail) after high tibial osteotomy (HTO) on osteoarthritis of knee with genu varus deformity. Methods37 knees of 32 cases were treated with straddle nail (25 knees) or Giebel blade plate (12 knees). All the cases were followed up for 6～28 months. ResultsThe clinical bone healing time of osteotomy was 8～12 weeks. There was no significant differences between 2 groups in the increased score in HSS Standard and in the clinical bone healing time. ConclusionBoth internal fixation with improved Giebel blade plate and traditional straddle nail get similarly satisfactory prognosis, while the former shows more advantages to allow early functional exercises.

Key words: osteoarthritis, genu varus deformity, high tibial osteotomy (HTO), internal fixation, improved Giebel blade plate, straddle nail