畸形

 

目的 探讨胫骨高位截骨术治疗陈旧性胫骨平台骨折的疗效及预后。
方法 自2004年1月至2009年1月间，我们采用胫骨高位截骨术治疗陈旧性胫骨平台骨折患者60例，其中男38例，女22例；年龄28~64岁，平均38±1.6岁；左侧34例，右侧26例。术前术后测量胫股角（FTA）、胫骨近端内侧角（MPTA），术后12月根据HSS膝关节功能评分量表和SF-36生存质量量表进行评分。
结果 60位患者术前FTA值为181.68°±4.19°（175°~192°），术后FTA值为171.15°±2.08°（167°~176°），P值为0.014。术前MPTA值为81.83°±3.38°（70°~88°），术后MPTA值为88.53°±2.02°（82°~92°），P值为0.020。术后12月患者HSS膝关节评分为80.79±8.53分（55~93），优良率为91.49%。SF-36生存质量量表评分调整分为78.69±8.11分（45.63~90.80）。术后平均随访时间为38.8±4.2月（13-58月）。
结论 胫骨高位截骨术是治疗陈旧性胫骨平台骨折简便有效的方法。

 

 

【Abstract】 Objective To evaluate the efficacy and prognosis of high tibial osteotomy for old tibial plateau fracture. Methods Sixty patients with old tibial plateau fracture (34 left and 26  right) were treated with high tibial osteotomy from January 2004 to January 2009. The patients included 38 males and 22 females, with an average age of 38±1.6 (28~64 )years old. We measured the femoral-tibial angle(FTA)and medial proximal tibial angle(MPTA) preoperatively and postoperatively. Also we assessed the efficacy and prognosis according to HSS scores and SF-36 life quality scores 12 months postoperatively. Results  FTA was 181.68°±4.19°(175°~192°) preoperatively ,and 171.15°±2.08°(167°~176°)postoperatively ,P value was 0.014. While MPTA was 81.83°±3.38°(70°~88°) preoperatively ,and 88.53°±2.02°(82°~92°) postoperatively ,P value was 0.020. HSS score was 80.79±8.53 (55~93) and SF-36 life quality score was 78.69±8.11 (45.63~90.80),which we assessed 12 months postoperatively.All the patients were followed up for 38.8±4.2 (13-58) months averagely. Conclusion High tibial osteotomy was a feasible and effective surgery technique for the treatment of old tibial plateau fracture.

 

Kyewords:胫骨高位截骨；胫骨平台；陈旧性骨折；畸形愈合