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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 81(4)

Tibial rotational alignment after opening-wedge and closing-wedge high tibial osteotomy

https://doi.org/10.18999/nagjms.81.4.621
https://doi.org/10.18999/nagjms.81.4.621
1cd6b4fe-10d6-45d9-bf78-b663716b72f0
名前 / ファイル ライセンス アクション
08_Kawai.pdf 08_Kawai.pdf (7.7 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2019-11-26
タイトル
タイトル Tibial rotational alignment after opening-wedge and closing-wedge high tibial osteotomy
著者 Kawai, Ryosuke

× Kawai, Ryosuke

WEKO 94428

Kawai, Ryosuke

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Tsukahara, Takashi

× Tsukahara, Takashi

WEKO 94429

Tsukahara, Takashi

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Kawashima, Itaru

× Kawashima, Itaru

WEKO 94430

Kawashima, Itaru

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Yamada, Harumoto

× Yamada, Harumoto

WEKO 94431

Yamada, Harumoto

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キーワード
主題Scheme Other
主題 opening-wedge high tibial osteotomy (OWHTO)
キーワード
主題Scheme Other
主題 closing-wedge high tibial osteotomy (CWHTO)
キーワード
主題Scheme Other
主題 rotation
抄録
内容記述 A lot of good outcomes have been reported after opening-wedge high tibial osteotomy (OWHTO) and closing-wedge high tibial osteotomy (CWHTO).The purpose of this study was to examine the rotational alignment after OWHTO and CWHTO performed by the same surgeon in one hospital. The sample included 30 knees from 24 patients. In all cases, the same orthopaedic surgeon performed the osteotomy surgeries using the same method. The tibial external rotation angle (TERA) was measured using the CT images of proximal tibial plateau and distal tibial malleolus from the consecutive axial CT slices of tibia. In this study, two considerations were examined. The first was the change in rotation angle, which was defined by TERA noted before and after the operation. The second was the relationship between the correction angle of the osteotomy and the rotation angle change of the distal tibia. The first was evaluated using the paired-Student’s t-test, while the second was analyzed with Pearson’s correlation coefficient. In the OWHTO group, the mean TERA was 21.4± 7.0° preoperatively and 20.2 ± 8.0° postoperatively, but no significant difference was seen between pre- and post-operation measurements (p = 0.21). Significant TERA increasing (that is, external rotation of the distal tibia) was seen postoperatively in only three knees. In the CWHTO group, the mean TERA was 19.9 ± 10.5° preoperatively and 16.5 ± 9.5° postoperatively, and significant difference was seen between pre- and post-operative TERA (p < 0.05). No significant correlation was seen between the correction angle and the change of the rotation angle in either group (r = 0.40, r = 0.12) . In the OWHTO group, both internal and external rotation of the distal tibia can occur after surgery. In the CWHTO group, the distal tibia rotated internally postoperatively. No significant correlation was seen between the correction angle and the change in the rotation angle in either group
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.81.4.621
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/814.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 81, 号 4, p. 621-628, 発行日 2019-11
著者版フラグ
値 publisher
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