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[Combined operation in treatment of osteoarthritis of knee with genu varum].
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008 Jan; 22(1):32-5.ZX

Abstract

OBJECTIVE

To make the young patients with osteoarthritis and genu varum of knee delay total knee arthroplasty, to observe the clinical effect of mosaicplasty of femoral medial condyle, patellar-plasty and high tibial osteotomy in the treatment of osteoarthritis of knee with varum.

METHODS

From June 2004 to February 2006, 8 patients with osteoarthritis of knee with varum (10 knees) were treated with combined operation such as mosaicplasty of femoral medial condyle, patellar-plasty and hightibial osteotomy. There were 2 males with3 knees, and 6 females with7 knees,withan average age of 50 years (42-56 years). The left knees and right knees were involved in 3 cases respectively and bilateral knees in 2 cases. All patients had knee ache after walk or long-time standing. The X-ray showed hyperosteogeny at peri-patella and circum ferential femur-tibial joint, especially in the medial. The gap between patella and femur narrowed or disappeared, especially in the medial femurtibial joint. The femoral tibial angel (FTA) was 185-200 degrees (mean 190 degrees). The HSS score of knee was 55-75 (mean 60). The history of knee ache was 1-12 years (mean 5 years).

RESULTS

All patients were followed up for 7-24 months (mean 15 months). All the incisions healed by first intention,no early complication occurred. The clinical bone healing time was 8-11 weeks (mean 9 weeks). Rectification of FTA was 15-30 degrees (mean 20 degrees). Normal weight-loading alignment was recovered. The valgus angle of knee was 10 degrees. The range of motion of knee was 100-120 degrees after operation, increasing by 5-20 degrees (mean 10 degrees) when compared with preoperation. The X-ray of postoperation showed that genu varum was corrected obviously and that no displacement, loosening and breakage occurred. The mean score of HSS was 80 (75-88), increasing by 20 when compared with preoperation.

CONCLUSION

Mosaic-plasty of femoral medial condyle can make articular cartilage repair in certain degrees, patellar-plasty can relieve ache of fore region of knee effectively, and high tibial osteotomy can recover normal weight-loading alignment. The curative effect is good with the combined methods.

Authors+Show Affiliations

Chen H
Luoyang Orthopeadic Hospital of Henan Province, Luoyang Henan, 471002, P. R. China. chenhailongster@gmail.com
Zheng J
No affiliation info available
Wang Z
No affiliation info available
Zhang Z
No affiliation info available
Shang Y
No affiliation info available
Zhang J
No affiliation info available

MeSH

AdultBone TransplantationCartilageCombined Modality TherapyFemaleFemurFollow-Up StudiesHumansKneeMaleMiddle AgedOsteoarthritis, KneeOsteotomyPatellaRange of Motion, ArticularTibiaTransplantation, AutologousTreatment Outcome

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

18361233

Citation

Chen, Hailong, et al. "[Combined Operation in Treatment of Osteoarthritis of Knee With Genu Varum]." Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, vol. 22, no. 1, 2008, pp. 32-5.
Chen H, Zheng J, Wang Z, et al. [Combined operation in treatment of osteoarthritis of knee with genu varum]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008;22(1):32-5.
Chen, H., Zheng, J., Wang, Z., Zhang, Z., Shang, Y., & Zhang, J. (2008). [Combined operation in treatment of osteoarthritis of knee with genu varum]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi = Zhongguo Xiufu Chongjian Waike Zazhi = Chinese Journal of Reparative and Reconstructive Surgery, 22(1), 32-5.
Chen H, et al. [Combined Operation in Treatment of Osteoarthritis of Knee With Genu Varum]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2008;22(1):32-5. PubMed PMID: 18361233.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Combined operation in treatment of osteoarthritis of knee with genu varum]. AU - Chen,Hailong, AU - Zheng,Jiuqin, AU - Wang,Zhanchao, AU - Zhang,Zhimin, AU - Shang,Yanchun, AU - Zhang,Jiangtao, PY - 2008/3/26/pubmed PY - 2009/3/20/medline PY - 2008/3/26/entrez SP - 32 EP - 5 JF - Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery JO - Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi VL - 22 IS - 1 N2 - OBJECTIVE: To make the young patients with osteoarthritis and genu varum of knee delay total knee arthroplasty, to observe the clinical effect of mosaicplasty of femoral medial condyle, patellar-plasty and high tibial osteotomy in the treatment of osteoarthritis of knee with varum. METHODS: From June 2004 to February 2006, 8 patients with osteoarthritis of knee with varum (10 knees) were treated with combined operation such as mosaicplasty of femoral medial condyle, patellar-plasty and hightibial osteotomy. There were 2 males with3 knees, and 6 females with7 knees,withan average age of 50 years (42-56 years). The left knees and right knees were involved in 3 cases respectively and bilateral knees in 2 cases. All patients had knee ache after walk or long-time standing. The X-ray showed hyperosteogeny at peri-patella and circum ferential femur-tibial joint, especially in the medial. The gap between patella and femur narrowed or disappeared, especially in the medial femurtibial joint. The femoral tibial angel (FTA) was 185-200 degrees (mean 190 degrees). The HSS score of knee was 55-75 (mean 60). The history of knee ache was 1-12 years (mean 5 years). RESULTS: All patients were followed up for 7-24 months (mean 15 months). All the incisions healed by first intention,no early complication occurred. The clinical bone healing time was 8-11 weeks (mean 9 weeks). Rectification of FTA was 15-30 degrees (mean 20 degrees). Normal weight-loading alignment was recovered. The valgus angle of knee was 10 degrees. The range of motion of knee was 100-120 degrees after operation, increasing by 5-20 degrees (mean 10 degrees) when compared with preoperation. The X-ray of postoperation showed that genu varum was corrected obviously and that no displacement, loosening and breakage occurred. The mean score of HSS was 80 (75-88), increasing by 20 when compared with preoperation. CONCLUSION: Mosaic-plasty of femoral medial condyle can make articular cartilage repair in certain degrees, patellar-plasty can relieve ache of fore region of knee effectively, and high tibial osteotomy can recover normal weight-loading alignment. The curative effect is good with the combined methods. SN - 1002-1892 UR - https://www.unboundmedicine.com/medline/citation/18361233/[Combined_operation_in_treatment_of_osteoarthritis_of_knee_with_genu_varum]_ DB - PRIME DP - Unbound Medicine ER -