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- W2322555255 abstract "【目的】特発性膝骨壊死（SPONK）に対する高位脛骨骨切り術（HTO）後の関節軟骨変化を検討した．【対象と方法】SPONKに対しHTOを行った18膝を対象とした．男性3膝，女性15膝，平均年齢は67.3歳，平均観察期間は2.9年であった．JOA scoreと可動域，X線にて術前後と最終時のアライメントを評価し，骨壊死とOAの進行度を評価した．【結果】JOA scoreは術前50点から術後90点に有意に改善した．可動域は伸展が－3°から0°へ，屈曲が129°から136°へ有意に改善した．FTAは術前180°から170°に矯正され，最終時169°と保持されていた．18膝中9膝でX線上病巣は縮小し，矯正不足の1例を除きOAの進行は認められなかった．術前は関節軟骨のsofteningや剥脱を認めたが，再鏡視した6膝では病変部が硬化し，4膝で線維軟骨様組織での被覆を認めた．【結論】HTOはSPONKに対して有用な治療手段であると考えられた．" @default.
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- W2322555255 date "2010-01-01" @default.
- W2322555255 modified "2023-09-22" @default.
- W2322555255 title "Arthroscopic Findings of Articular Cartilage and Radiographic Assessment after High Tibial Osteotomy for Spontaneous Osteonecrosis of the Knee" @default.
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- W2322555255 doi "https://doi.org/10.5035/nishiseisai.59.675" @default.
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