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Item type:Publication, Mid-Term Results of High Tibial Osteotomy Regarding From Grades of Knee Osteoarthritis(Mongolian National University of Medical Sciences, 2022-06-30); ;Baatarjav Sosor ;Otgonbayar Maidar; Objectives: The number of high tibial osteotomy (HTO) has significantly increased in Mongolia, however, researchers are still debating about the impact of severity of knee osteoarthritis on the outcome of high tibial osteotomy. The purpose of our study is to report the mid-term results of HTO for knee osteoarthritis according to the Kellgren Lawrence classification. Methods: A total of 100 patients who underwent high tibial osteotomy for knee osteoarthritis from October 2019 to June 2020 at the Joint Center of the First Central Hospital of Mongolia participated in this study. Outcome evaluation of the participants was accomplished at baseline, at 2 months, 6 months, 8 months and 18 months post-operatively. Results: Lateral closing wedge HTO was performed in 54.2 % of patients who had 1st grade deformity and 55.9 % of patients who had 2nd grade deformity. On the other hand, medial opening wedge HTO was performed in 3rd grade patients compared to other grades. WBL was 11.43 ± 8.22 at preoperative, and increased to 56.31 ± 4.52 after 12 months of the surgery in 3rd grade. The total WBL was improved from 20.54 ± 12.57 to 57.24 ± 3.69 after two months of surgery and 57.89 ± 4.17 after 12 months. Conclusion: Our study showed that the severity of knee osteoarthritis had impact on outcome of high tibial osteotomy. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Early Results of High Tibial Osteotomy for Osteoarthritis in Mongolia(Mongolian National University of Medical Sciences, 2019-03-31); ;Sodnompil, Dashtsogt ;Narangerel, Enkhtaivan ;Ulziibat, BayartsengelMaidar, OtgonbayarObjectives: The objectives of this study were to examine the reproducibility of the surgical correction and pain relief following high tibial osteotomy for osteoarthritis. Methods: Twenty-seven patients who underwent high tibial osteotomy at The First Central Hospital of Mongolia were included. Patients divided into three groups based on their osteoarthritis grade using the Kellgren Lawrence classification. The weight-bearing line and medial proximal tibial angle were used for preoperative planning to assess postoperative correction. Oxford knee scores were used to assess knee pain and function. Results: The weight-bearing line and medial proximal tibial angle measurements at both postoperative time intervals were significantly different from the preoperative values (p<.001) but were not significantly different from each other. The Oxford knee scores were 31.54±6.3 preoperatively, 34.82±4.3 at two months after the surgery and improved to 40.89±2.7 six months after the surgery. Statistically significant successive improvements in scores were observed at each time interval (p<.001). Conclusion: High tibial osteotomy can be done with rigid internal fixation and can improve function and reduce pain in Mongolian patients with early arthritis without affecting joint range of motion. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Өвдөгний остеоартритын зарим эрсдэлт хүчин зүйлийг судалсан дүн(2022-04-28) ;Б.Түвшинжаргал ;М.Отгонбаяр ;С.Баатаржав ;Д.МөнхбаатарӨвдөгний остеоартритын тохиолдлын тоо жил ирэх тутам нэмэгдэж байгаа бөгөөд уг өвчин нь хөдөлмөрийн чадвар алдалтын тэргүүлэх шалтгаануудын нэг болоод байна. Өвдөгний остеоартритын үед хийгддэг мэс ажилбаруудын нэг нь хөлийн тэнхлэг засах мэс засал юм. Иймд хөлийн тэнхлэг засах мэс засалд орж буй эмчлүүлэгчдийн өвдөгний остеоартриад нөлөөлөх зарим эрсдэлт хүчин зүйлүүдийг судлах шаардлага зайлшгүй тулгарч байна. Зорилго: Шаантны дээд хэсгээр тэнхлэг засах мэс засал хийгдэж буй эмчлүүлэгчдийн дунд өвдөгний остеоартритын зарим эрсдэлт хүчин зүйлийг судлах. Арга, аргачлал: Судалгаанд 2019 оноос 2021 оны хооронд Улсын Нэгдүгээр Төв Эмнэлэгт (УНТЭ) Олон Улсын Өвчний 10-р ангиллаар M17 оношоор хэвтэн хөлийн тэнхлэг засах мэс засал хийгдсэн 100 тохиолдлыг хамруулж дескриптив судалгааны аргаар гүйцэтгэв. Судалгааны үр дүнг шинжлэхэд STATA 13.0 программыг ашиглав. P утга 0.05-аас бага тохиолдолд статистик ач холбогдол бүхий ялгаатай буюу эмчилгээ үр дүнтэй гэж үзэв. Үр дүн: Судалгаанд оролцогчдын 66% нь БЖИ-ээр илүүдэл жинтэй буюу таргалалттай бөгөөд нийт оролцогчдын 42% нь KL-III зэрэгтэй байв. Дүгнэлт: Шаантны дээд хэсгээр хөлний тэнхлэг засах мэс засалд орж буй нийт эмчлүүлэгчдийн 45.0% (n=45) илүүдэл жинтэй, 21.0% (n=21) таргалалттай, дундаж нас 51±6 (p=0.0001) байгаа нь өвдөгний остеоартрит үүсэхэд нөлөөлөх хүчин зүйл болохоор байна.
