胫骨高位截骨治疗膝内侧间室严重骨性关节炎

目的：应用胫骨高位截骨术治疗膝内侧间室严重性关节炎并膝内翻畸形以缓解或消除关节疼痛，矫正畸形，恢复关节正常的生物力线排列。方法：自1992年5月－1998年2月应用胫骨高位截骨共施行手术18例（21膝），要求术前按适应证严格筛选病人，计算截骨角度。结果：本组病人平均随访3．2年，按Coventry疗效评定，优10例，良7例，可3例，差1例。结论：此手术可恢复内侧间室关节间隙下肢正常生物力线，有利于退变软骨的恢复，疗效满意。

High Tibial Osteotomy forMedial Compartment Serious Osteoarthritis of the Knee

Objective: High tibial osteotomy treated medial compartment serious osteoarthritis of the knee with varus deformity,and relieving arthritic pain,correcting deformity and normal femoraltibial axial alignment.Methods:From May 1992 to February 1998,18 cases(21 knees) were operated on,We chose fit patients and planed osteotomy angle.Results:All cases were followed up for an average 3.2 years,according to Coventry's rating system,81% of the whole series had a good or excellent results.Conclusion:It increases the medial joint space width and corrects femoraltibial axial alignment,allows for healing of the articular cartilage.Satisfactory results were obtained.