PDF(Pubmed)
Abstract：
Recent studies on fibular osteotomy for varus gonarthrosis and possible subsequent biomechanical changes have attracted increasing attention to the topic. Existing studies have focused mainly on proximal fibular osteotomy with short follow-up periods. The aim of this study was to investigate changes in the alignment of the coronal plane of the ankle and knee joints in patients who underwent vascularized fibula graft harvest (VFGH). The evaluation was based on functional outcomes and radiological measurements.In the comparison between the VFGH side and the contralateral side, no significant differences in the knee inclination (KI) or talar inclination (TI) angle, knee medial clear space (K-MCS) or ankle medial clear space (A-MCS) distance were noted. However, a significant difference in the hip knee (HKA) angle was observed between the operated and nonoperated sides (0.3° ± 1.8° and 1.5° ± 1.9°, respectively [p = 0.019]). Statistically significant differences in both the knee society score (KSS) and the AOFAS scores were found between the ipsilateral donor limb and the contralateral healthy limb. Although the contralateral healthy side had better clinical scores than the VFGH side, the outcomes of the VFGH side were still satisfactory or excellent.
摘要：
最近关于腓骨截骨术治疗内翻关节病的研究以及随后可能的生物力学变化引起了越来越多的关注。现有研究主要集中于腓骨近端截骨术，随访时间短。这项研究的目的是调查接受血管化腓骨移植（VFGH）的患者踝关节和膝关节冠状面排列的变化。评估基于功能结果和放射学测量。在VFGH侧和对侧之间的比较中，膝关节倾角（KI）或距骨倾角（TI）角度无显著差异，膝关节内侧间隙（K-MCS）或踝关节内侧间隙（A-MCS）距离均被记录。然而,在手术侧和非手术侧之间观察到髋膝（HKA）角度的显着差异（0.3°±1.8°和1.5°±1.9°，分别为[p=0.019])。在同侧供体肢体和对侧健康肢体之间发现了膝关节社会评分（KSS）和AOFAS评分的统计学显着差异。尽管对侧健康侧的临床评分优于VFGH侧，VFGH侧的结局仍然令人满意或优异.
