Arthroscopic clean-up with high tibial osteotomy for osteoarthritis of the knee varus.docVIP

 PAGE \* MERGEFORMAT 8 Arthroscopic clean-up with high tibial osteotomy for osteoarthritis of the knee varus Of: Li Baihua, Wang Xian and India, Zhangzuo Feng, Wang Guanjun, Korean, DPRK [Abstract] Objective To investigate the varus knee osteoarthritis treatment measures. Methods 19 patients (20 knees) with osteoarthritis of the knee varus were treated with arthroscopic clean-up, at the same time high tibial osteotomy. First arthroscopic debridement, and exploration intra-articular, to ensure that the lateral compartment articular cartilage degeneration no, then underwent high tibial osteotomy, postoperative rehabilitation exercises. Results The follow-up time of 16 to 52 months, an average of 34 months. All cases were 6 to 10 weeks after surgery to obtain bone union, femoral tibial angle of 171 ~ 175 , average 172.5 . Lyshoml knee score assessment: preoperative knee score 40 to 19 of 56 points, an average of 52 minutes, after score of 82 to 98 minutes, an average of 95 points. Conclusions Arthroscopic debridement can improve the intra-articular disorders, high tibial osteotomy can correct the abnormal weight-bearing line of force, the combination with the treatment of varus knee osteoarthritis sure, than a single high tibial osteotomy has obvious advantages. [Keywords:] varus knee, osteoarthritis, high tibial osteotomy, arthroscopic debridement Arthroscopic debridement and high tibial osteotomy for osteoarthritis of the knee are commonly used in treatment, high tibial osteotomy to correct knee on the line are mainly poor, and arthroscopic debridement may improve intra-articular disorders, second by combined application can learn from each other and improve efficacy. from October 2002 to February 2006 we use the combination of arthroscopic clean-up of high tibial osteotomy for osteoarthritis of the knee varus in 19 cases, achieve a satisfactory effect, are as follows. 1 Clinical data 1.1 General information on 19 cases in this group of 20 kn