Alternative Title高位脛骨骨切り術と脛骨顆外反骨切り術のX線学的特徴の比較
Periodical titleBMC Musculoskeletal Disorders
Degree grantor/typeNagasaki University (長崎大学)
Note (General)Background: The purpose of this study was to compare radiological features between high tibial osteotomy (HTO) and tibial condylar valgus osteotomy (TCVO), in order to define the radiological indication criteria for TCVO. Methods: Thirty-two cases involving 35 knees that had undergone HTO and the same number that had undergone TCVO for knee osteoarthritis were retrospectively evaluated. Characteristics of both groups did not differ significantly. Lower limb alignment, bone morphology, joint congruity, and joint instability were measured in standing full-length leg and knee radiographs obtained before and after surgery. Results: Radiological features in the TCVO group included greater frequencies of advanced knee OA grade, varus lower limb malalignment, depression of the medial tibial plateau, and varus-valgus joint instability compared to the HTO group before surgery. However, tibial morphology, alignment of the lower limb, and joint instability improved to comparable levels after surgery in both groups. Conclusions: TCVO appears preferable in cases with advanced knee OA, destroyed or inclined medial tibial plateau, widened and subluxated lateral joint, and high varus-valgus joint instability.
長崎大学学位論文 学位記番号:博(医歯薬)甲第1230号 学位授与年月日:令和2年3月19日
identifier:Nagasaki University (長崎大学), 博士(医学) (2020-03-19)
http://hdl.handle.net/10069/39928
DOIinfo:doi/10.1186/s12891-019-2764-0
Collection (particular)国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
Date Accepted (W3CDTF)2020-04-06T03:04:11+09:00
Data Provider (Database)国立国会図書館 : 国立国会図書館デジタルコレクション