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最終更新日:2026/01/24

渡邉 秀

ワタナベ シュウ (Shu Watanabe)
論文
タイトル
タイトル(英)
Appropriate patient selection based on joint line convergence angle minimizes the difference between the mechanical axis in the standing and supine positions after open-wedge high tibial osteotomy and distal tuberosity osteotomy.
参照URL
https://researchmap.jp/shuwatanabe/published_papers/52092720
著者
著者(英)
Naosuke Nagata,Takehiko Matsushita,Shu Watanabe,Yuta Nakanishi,Kyohei Nishida,Kanto Nagai,Noriyuki Kanzaki,Yuichi Hoshino,Tomoyuki Matsumoto,Ryosuke Kuroda
担当区分
概要
概要(英)
BACKGROUND: This study aimed to evaluate the differences between the mechanical axis (MA) in standing and supine positions in patients who underwent high tibial osteotomy (HTO) or distal tuberosity osteotomy (DTO) based on the surgical indication for the joint line convergence angle (JLCA). METHODS: Seventy-one knees of 69 patients with JLCA of < 6° in standing position and a difference of < 3° between the JLCA in the standing and supine positions who had undergone medial open-wedge HTO or DTO were included in this study. The %MA in the standing and supine positions (%MAst and %MAsp, respectively) and JLCA in the standing and supine positions (JLCAst and JLCAsp, respectively) were determined using preoperative and postoperative long-leg-view radiographs. The difference between %MA and JLCA in the standing and supine positions (Δ%MA and ΔJLCA, respectively) was calculated by subtracting the measurement value in the supine position from that in the standing position. RESULTS: The preoperative %MAst, %MAsp, JLCAst, and JLCAsp were 23.8 ± 9.5%, 28.7 ± 8.0%, 2.9 ± 1.4°, and 1.6 ± 1.4° respectively. The preoperative Δ%MA and ΔJLCA were - 4.9 ± 5.9% and 1.3 ± 1.0° respectively. The postoperative %MAst, %MAsp, JLCAst, and JLCAsp were 58.8 ± 6.9%, 59.0 ± 6.2%, 1.7 ± 1.0°, and 1.5 ± 1.1°, respectively. No significant differences were observed between the postoperative %MAst and %MAsp. The postoperative Δ%MA and ΔJLCA were - 0.2 ± 3.0% and 0.3 ± 0.6°, respectively. The postoperative Δ%MA was - 5 to 5% in 68 knees (95.8%). CONCLUSION: Minimal differences were observed between the Δ%MA after HTO and DTO among patients with preoperative JLCAst of < 6° and ΔJLCA and of < 3°, respectively. Appropriate surgical indications could minimize this difference.
出版者・発行元
出版者・発行元(英)
誌名
誌名(英)
Journal of orthopaedic surgery and research
20
1
開始ページ
321
終了ページ
321
出版年月
2025年3月28日
査読の有無
招待の有無
掲載種別
研究論文(学術雑誌)
ISSN
DOI URL
https://doi.org/10.1186/s13018-025-05711-5
共同研究・競争的資金等の研究課題