中国・四国整形外科学会雑誌
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
原著
脛骨内顆骨欠損に対して wedge type の金属骨補填材料を用いた人工膝関節全置換術の経験
林 正典今谷 潤也川上 幸雄高橋 欣吾岡田 幸正
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2009 年 21 巻 1 号 p. 35-39

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The purpose of this study was to clarify the short-term results of TKA with wedge-type metal augmentation for knees with bone defects of the medial tibial condyle (4 OA and 1 RA) treated in 2008. Five patients (1 man and 4 women) were followed up for 4 to 10 months (mean : 7.6 months) after surgery. The mean age was 76.6 years (range : 70 to 83 years). NexGen LPS-Flex-type TKA with an extension stem was used for all patients.
JOA score was improved from 35.0 before surgery to 75.5 after surgery in OA patients, and from 41 to 85 in RA patient. The knee extension was improved from −22° to −7° and the knee flexion was improved from 108° to 130°. On radiography, FTA was improved from 202° to 175°.α angle was 95.5°,β angle was 89.1°,γ angle was 0.6°, and δ angle was 86.5° after surgery.
Good short-term results were obtained using TKA with wedge-type metal augmentation for knees with bone defects of the medial tibial condyle.
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© 2009 中国・四国整形外科学会
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