Summary
A total of 50 patients with osteoarthritis of the knee joint treated by proximal osteotomy of the tibia were followed up 1–5 years after operation. Fusion occurred within an average of 24 weeks. The subjective result of the treatment was good or fair in 44/50 patients. The results were the same 1–2 years and 4–5 years postoperatively. Half the patients showed some significant general disease, most usually hypertension or cardiac disease. Although the patients' subjective condition was significantly better after than before operation, the treatment did not improve or maintain their working capacity. Preoperatively 29 patients worked, while this number was reduced to 12 at the time of follow-up, and two of the latter patients had been trained for new occupation.
Zusammenfassung
Fünfzig Patienten, bei denen wegen Arthrose des Kniegelenkes eine proximale Osteotomie der Tibia vorgenommen wurde, wurden 1–5 Jahre später nachuntersucht. Die Verknöcherung der Osteotomien erfolgte durchschnittlich in 24 Wochen nach der Operation. Das subjective Ergebnis war gut oder befriedigend bei 44 von 55 Patienten. Die Ergebnisse waren gleich 1–2 Jahre and 4–5 Jahre nach der Operation. Jeder zweite der Patienten litt an einer anderen Krankheit, gewöhnlich an hohem Blutdruck oder an Herzkrankheit. Obwohl das Befinden der Patienten subjektiv bedeutend besser nach der Operation war, hatte die Operation keine Wirkung auf die Verbesserung oder Erhaltung der Arbeitsfähigkeit. Vor der Operation arbeiteten 29 der Patienten, zur Zeit der Nachuntersuchung nur 12, von denen zwei Patienten umgeschult worden waren.
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This study was supported by the Suomen Lääketieteellinen Säätiö
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Isolauri, J., Lapinsuo, M., Aho, H. et al. Proximal osteotomy of the tibia in the treatment of osteoarthritis of the knee. Arch. Orth. Traum. Surg. 102, 107–110 (1983). https://doi.org/10.1007/BF02498725
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DOI: https://doi.org/10.1007/BF02498725