High tibial osteotomy in the treatment of osteoarthritis of the knee. The role of preoperative arthroscopy
| Autor: | J S Keene, J R Dyreby |
|---|---|
| Rok vydání: | 1983 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty biology medicine.diagnostic_test business.industry medicine.medical_treatment Radiography Arthroscopy General Medicine Osteoarthritis musculoskeletal system biology.organism_classification Osteotomy medicine.disease Surgery Valgus Subchondral bone High tibial osteotomy medicine Orthopedics and Sports Medicine Valgus angulation business human activities |
| Zdroj: | The Journal of Bone & Joint Surgery. 65:36-42 |
| ISSN: | 0021-9355 |
| Popis: | Sixty osteoarthritic knees that were evaluated by arthroscopic, radiographic, and clinical (Insall knee-rating scale) examination prior to high tibial valgus osteotomy were re-evaluated radiographically and clinically after a minimum follow-up of two years. After two and three years, the clinical scores of the knees with bicompartmental and tricompartmental osteoarthritis (including exposed subchondral bone in the lateral compartment) were the same as the scores of the knees with unicompartmental disease. The scores of the knees with 5 to 13 degrees of valgus alignment at two years were significantly higher (p less than 0.01) than the scores of the knees with less than 5 degrees of valgus angulation, regardless of the arthroscopy scores. Based on the results after two to three years, the arthroscopic findings prior to osteotomy appeared to have little, if any, predictive value in evaluating patients for this procedure. |
| Databáze: | OpenAIRE |
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