遺残性 Osgood-Schlatter 病に対する脛骨粗面後方移動術についての検討

抄録

Osgood-Schlatter disease is found frequently in young athletes.
Conservative treatment is effective for most patients with this disease, however, some patients have persistent symptoms after epiphyseal arrests. We treated eight patients with intractable pain by posterior transfer of tibial tuberosity. The clinical outcomes of this surgery were reviewed.
Seven men and one woman underwent this surgery. Six of the eight patients had knee pain during athletic activities, and the remaining two during heavy work. The follow-up period was five to 170 months, averaging 92 months.
Complete relief of pain and resumption of activity were obtained in six of eight patients. One patient had knee pain after athletic activities, and the remaining one patient had local pain in tibial tuberosity. However, both patients were relieved from their preoperative severe pain.
We concluded that this operative procedure is effective for Unresolved Osgood-Schlatter disease.