The role of microfractures with tibial osteotomy in the treatment of knee osteoarthritis with a varus deformity
| Autor: | Leonardo Antunes Bellot de Souza, Max Rogerio Freitas Ramos, Vinícius Magno da Rocha |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty medicine.medical_treatment Genu varum lcsh:Medicine Osteoarthritis Osteotomy Cruciate ligament 03 medical and health sciences Arthroscopy 0302 clinical medicine lcsh:Orthopedic surgery Geno varo medicine Osteotomia Osteoartrite do joelho Artroscopia Varus deformity 030222 orthopedics Lysholm Knee Score biology medicine.diagnostic_test business.industry lcsh:R 030229 sport sciences General Medicine medicine.disease biology.organism_classification musculoskeletal system Surgery Valgus lcsh:RD701-811 medicine.anatomical_structure Escore de Lysholm para joelho Original Article Knee osteoarthritis medicine.symptom business Lysholm knee score |
| Zdroj: | Revista Brasileira de Ortopedia Revista Brasileira de Ortopedia, Vol 53, Iss 6, Pp 754-760 Revista Brasileira de Ortopedia v.53 n.6 2018 Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
| ISSN: | 2255-4971 |
| Popis: | To evaluate the microfracture intervention with tibial valgus osteotomy associated in the treatment of varus gonarthrosis.From November 2005 to May 2013, 129 patients with medial gonarthrosis, varus deformity (8°-12°), and range of movement greater than 90° were evaluated. Patients with advanced gonarthrosis (Alhbäck 3, 4, and 5), Outerbridge lesion inferior to IV, previous knee surgery, body mass index greater than 35 kg/mThere was a significant improvement in the pain, limping, and squatting domains of the Lysholm scale but only in the isolated osteotomy group. A greater variance of results was observed in the osteotomy group associated to microfracture, in addition to an increased risk of functional deterioration (OR = 8.64).The association of microfractures and tibial valgus osteotomy was correlated to lower functional outcomes than tibial valgus osteotomy alone, and may be related to the risk of worsening in the first two postoperative years.Avaliar a intervenção de microfratura associada a osteotomia tibial valgizante no tratamento de gonartrose medial com geno varo.Entre novembro de 2005 e maio de 2013, foram avaliados 129 pacientes portadores de gonartrose medial, geno varo entre 8° e 12° e arco de movimento superior a 90°. Não foram incluídos pacientes com gonartrose avançada (Alhbäck 3, 4 e 5), lesão Outerbridge inferior a IV, cirurgia prévia na articulação, índice de massa corpórea superior a 35 kg/mUma melhoria significativa nos domínios dor, claudicação e agachamento da escala de Lysholm foi observada apenas no grupo osteotomia tibial valgizante isolada. Maior variância de resultados foi observada no grupo osteotomia tibial valgizante associada a microfratura e uma razão de chances de pioria de 8,64.A associação das microfraturas e osteotomia tibial valgizante tem resultado funcional inferior à osteotomia tibial valgizante isolada, pode ainda estar relacionada ao risco de pioria nos primeiros dois anos de pós-operatório. |
| Databáze: | OpenAIRE |
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