Journal of Korean Orthopaedic Sports Medicine (대한정형외과스포츠의학회지)
- Volume 11 Issue 1
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- Pages.30-36
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- 2012
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- 1598-5695(pISSN)
The comparative study of arthroscopic meniscectomy with or without high tibial osteotomy in patients with degenerative medial meniscus posterior horn tear
내반 변형을 지닌 내측 반월상 연골판 후방 골 기시부 퇴행성 파열 환자에서 반월상 연골판 절제술 단독과 근위 경골 절골술 동반 수술의 결과 비교
- Moon, Jae-Young (Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital) ;
- Seon, Jong-Keun (Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital) ;
- Song, Eun-Kyoo (Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital) ;
- Kim, Hyung-Soon (Department of Orthopedic Surgery, Seonam University Namgwang Hospital) ;
- Yim, Ji-Hyeon (Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital) ;
- Cho, Hyun-Jong (Department of Orthopedic Surgery, Center for Joint Disease, Chonnam National University Hwasun Hospital)
- 문재영 (화순전남대학교병원 정형외과 관절센터) ;
- 선종근 (화순전남대학교병원 정형외과 관절센터) ;
- 송은규 (화순전남대학교병원 정형외과 관절센터) ;
- 김형순 (서남대학교병원 정형외과) ;
- 임지현 (화순전남대학교병원 정형외과 관절센터) ;
- 조현종 (화순전남대학교병원 정형외과 관절센터)
- Published : 2012.03.31
Abstract
Purpose: We compared the clinical and radiological results of meniscectomy with HTO or without HTO for degenerative medial meniscus posterior horn with varus deformity. Materials and Methods: Forty-two patients who had medial meniscus degenerative root tear with varus deformity more than 3 degrees were included for this study. Among them, 30 patients were performed meniscectomy combined with open wedge HTO and 12 patients were performed only meniscectomy without HTO. The mean follow-up period was 52.5 months. The clinical results were evaluated based on symptom improvement, patients' subjective satisfaction for surgery and HSS score. We also compared the osteoarthritic progression between the group on preoperative and at the final follow up radiographs. Results: Symptom improvement was achieved in 83.3% (25 cases) with HTO group and 66.7% (8 cases) without HTO group at final follow up with a significant difference. Patients' satisfaction was achieved in 83.3% (25 cases) with HTO group and 58.3% (7 cases) without HTO group which has a significant difference. The HSS score was improved in both group (90.8: with HTO group, 89.0: without HTO group) at the final follow up without significant difference. WOMAC score was improved in both groups at the final follow up without significant difference. There were no significant differences in the osteoarthritic progression between two groups. Conclusion: The good clinical result for treatment of patient who have medial meniscus degenerative root tear with varus deformity, proximal high tibial osteotomy is considered absolutely necessary. However, the progression of degenerative arthritis, its effect on long term follow up will be needed.
목적: 내반 변형을 지닌 내측 반월 연골판 후방 골 기시부 퇴행성 파열 환자에 대해 관절경적 반월 연골판 절제술을 시행 중 개방형 경골 근위부 절골술을 시행하는 경우와 하지 않는 경우에서의 임상적 및 방사선학 결과를 비교 하고자 하였다. 대상 및 방법:
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