変形性膝関節症に対するdouble osteotomyの可能性

書誌事項

タイトル別名
  • Possibility of Double Osteotomy for the Osteoarthritis of Knee Joint.
公開日
2003
DOI
  • 10.5035/nishiseisai.52.865
公開者
西日本整形・災害外科学会

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説明

Three patients with advanced osteoarthritis of the knee joint (OA) were treated by tibial condylar valgus osteotomy (TCVO). The first case of TCVO underwent resection of the anterior cruciate ligament to correct the alignment of the lower extremity. From this experience, we thought that the double osteotomy (reversed Y-shaped osteotomy) of the proximal tibia was needed for the treatment of the advanced OA in a few cases. The second case was the most severe OA case. The alignment of the lower extremity and stability of the knee joint were improved by TCVO and this case could walk after surgery. The tibia of the last case was fractured at the time of surgical correction because the lateral joint space of the knee joint was narrow. This case was treated by the double osteotomy (reversed Y osteotomy) accidentally. The conclusion was that the double osteotomy is rarely needed to treat advanced OA with narrow lateral joint space.

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