2016, Number 3
Template with lateral lifting wedge in the treatment of medial compartment gonarthrosis
Alcaraz-Soto LR, Reyes-Pantoja R
Full text
Language: Spanish
References: 9
Page: 83-92
PDF size: 559.09 Kb.
ABSTRACT
In the treatment of knee osteoarthritis has abandoned the practice of prevention in the management of this condition. Heel wedges can realign the foot of 5 to 10 degrees, either varus or valgus. With the lateral cuneiform and the template, changing the alignment reduces the load average joint space.Objetive: Determine the usefulness of the template in patients with lateral compartment knee osteoarthritis.
Material and Method: We selected patients with knee osteoarthritis grade I and II, according Ahlbäck, treated with templates wedge heel side elevation of 7 mm in the period August 2011 to July 2012. It was requested control radiograph year and joint spaces were measured, and evaluated the clinical and radiographic evolution with visual analog pain scale and WOMAC questionnaire.
Results: 127 patients met the criteria for the study, 83 women and 44 men with a mean age of 60 ± 13, decreasing the pain as VAS and WOMAC scale, with significant result (p ‹ 0.0001). There were no changes in stiffness.
Conclusion: The template side elevation wedge heel 7 mm template ¾ gives well to excellent results in most patients with knee osteoarthritis grade I and II medial compartment.
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