| 胫骨高位截骨术治疗膝内侧间室骨关节炎的疗效分析 |
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| 引用本文： | 郇松玮,罗斯敏,张还添,佘国荣,吴文锐,陈均源,庄腾丰,李桦,查振刚,刘宁. 胫骨高位截骨术治疗膝内侧间室骨关节炎的疗效分析[J]. 中华关节外科杂志(电子版), 2021, 15(1): 33-38. DOI: 10.3877/cma.j.issn.1674-134X.2021.01.006 |
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| 作者姓名： | 郇松玮 罗斯敏 张还添 佘国荣 吴文锐 陈均源 庄腾丰 李桦 查振刚 刘宁 |
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| 作者单位： | 1. 510630 广州，暨南大学附属第一医院骨关节外科 |
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| 基金项目： | 广东省医学科学技术研究基金项目(A2016502)。 |
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| 摘 要： | 目的 探讨内侧开放式胫骨高位截骨术治疗膝关节内侧骨关节炎的临床疗效.方法 选取2016年1月至2019年2月于暨南大学附属第一医院骨关节科诊断为膝内侧骨关节炎并行内侧开放式胫骨高位截骨术的患者56例(64膝).纳入标准:膝关节内侧间室骨关节炎;合并胫骨侧内翻畸形.排除标准:炎症性、感染性关节炎;多间室的关节退变;膝关节...
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| 关 键 词： | 截骨术 骨关节炎 胫骨 膝关节 治疗效果 |
Effect analysis of high tibial osteotomy for treatment of knee medial compartment osteoarthritis |
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| Huan Songwei,Luo Simin,Zhang Huantian,She Guorong,Wu Wenrui,Chen Junyuan,Zhuang Tengfeng,Li Hua,Zha Zhengang,Liu Ning. Effect analysis of high tibial osteotomy for treatment of knee medial compartment osteoarthritis[J]. Chinese Journal of Joint Surgery(Electronic Version), 2021, 15(1): 33-38. DOI: 10.3877/cma.j.issn.1674-134X.2021.01.006 |
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| Authors: | Huan Songwei Luo Simin Zhang Huantian She Guorong Wu Wenrui Chen Junyuan Zhuang Tengfeng Li Hua Zha Zhengang Liu Ning |
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| Affiliation: | 1. Department of Orthopedics, the First Affiliated Hospital of Jinan University, Guangzhou 510630, China |
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| Abstract: | Objective To investigate the clinical effect of open wedge high tibial osteotomy(OWHTO)in the treatment of medial compartment osteoarthritis(MCOA)of the knee.Methods A total of 56 patients(64 knees)with MCOA diagnosed in the Department of orthopedics,the First Affiliated Hospital of Jinan University were included in this study.All the cases underwent OWHTO,from January,2016 to Febrary,2019.Inclusion criteria:medial compartment osteoarthritis of knee joint;complicated with tibial varus deformity.Exclusion criteria:inflammatory and infectious arthritis,joint degeneration in multiple compartments,range of motion of knee joint<90°,flexion deformity>10°.The knee function and pain were evaluated by the visual analogue score(VAS)and Hospital for Special Surgery(HSS)score before and after surgery.The correction effect of postoperative knee varus was evaluated by femorotibial angle(FTA),medial proximal tibial angle(MPTA),knee varus angle(KVA),and weight-bearing line ratio of lower limbs(WBL).The scores and measured values were analyzed by repeated measurement analysis of variance,WSC test was used for comparison between each follow-up visit,and LSD test was used for pairwise comparison.Results All the incisions healed by first intention after operation.The lateral hinge undisplaced fracture occurred in five cases,which were healed by delayed weight bearing.Swelling and ecchymoses in leg occurred in 10 cases,which disappeared after symptomatic treatment.All the patients were followed up for an average of(15±3)months.During the follow-up,there was no failure of internal fixation,delayed union or nonunion of bone.At the follow-up of three,six and 12 months,the HSS scores of the patients were significantly higher than those before the operation(F=312.7,P<0.05).The VAS scores of the cases were significantly lower than those before the operation(F=185.6,P<0.05).Among the imaging indexes,FTA(t=3.2),MPTA(t=6.3),KVA(t=5.8)and WBL(t=2.7)were improved after operation.Compared with those before operation,varus deformity was corrected(all P<0.05).Conclusion OWHTO has a good effect in the treatment of medial compartment osteoarthritis of knee joint with varus deformity by correcting the mechanical alignment of lower extremities,alleviating pain and improving knee joint function. |
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| Keywords: | Osteotomy Osteoarthritis Tibia Knee joint Treatment outcome |
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