胫骨高位截骨术治疗膝内翻合并内侧单间隙退变骨性关节炎的临床效果  

Clinical effect of high tibial osteotomy in the treatment of knee varus with medial single interstitial degeneration osteoarthritis

作　　者：李先志 徐军鹏 LI Xian-zhi;XU Jun-peng(Orthopedics Department,No.987 Hospital of PLA Joint Logistic Support Force,Baoji 721000,China)

机构地区：[1]中国人民解放军联勤保障部队第987医院骨科

出　　处：《临床医学研究与实践》2019年第32期80-82,共3页Clinical Research and Practice

摘　　要：目的研究胫骨高位截骨术治疗膝内翻合并内侧单间隙退变骨性关节炎的临床效果。方法选取我院收治的78例膝内翻合并内侧单间隙退变骨性关节炎患者为研究对象,按照随机数字表法将其分为对照组和观察组,每组39例。对照组采用全膝关节置换术治疗,观察组采用胫骨高位截骨术治疗。比较两组患者的疗效。结果术后1周,两组患者的Lysholm、HSS评分均高于术前(P<0.05);两组患者治疗优良率、并发症总发生率比较,差异不显著(P>0.05);术后,两组患者的疼痛评分、内翻角度均较术前明显改善,且观察组优于对照组(P<0.05)。结论针对膝内翻合并内侧单间隙退变骨性关节炎患者,采用胫骨高位截骨术的疗效与全膝关节置换术相当,均具有较高的安全性和有效性,有助于患者膝关节功能及内翻角度的改善,临床可根据患者实际情况选择适合的术式。Objective To study the clinical effect of high tibial osteotomy in the treatment of knee varus with medial single interstitial degeneration osteoarthritis. Methods A total of 78 patients of knee varus with medial single interstitial degeneration osteoarthritis admitted in our hospital were selected as the study objects. According to the random number table method, the patients were divided into control group and observation group, with 39 cases in each group. The control group was treated with total knee arthroplasty, while the observation group was treated with high tibial osteotomy. The efficacy of the two groups were compared. Results One week after operation, the scores of Lysholm and HSS of the two groups were higher than those before operation(P<0.05). There were no significant differences in the excellent and good rate of treatment and the total incidence of complications between the two groups(P>0.05). After operation, the pain score and varus angle of the two groups improved significantly, and those of the observation group were better than the control group(P <0.05).Conclusion For patients with knee varus combined with medial single interstitial degeneration osteoarthritis, high tibial osteotomy has the same effect as total knee arthroplasty with higher safety and effectiveness, which is conducive to the improvement of knee joint function and varus angle. Clinically, the appropriate operation can be selected according to the actual situation of patients.

关 键 词：膝内翻 骨性关节炎 胫骨高位截骨术 

分 类 号：R687.31[医药卫生—骨科学]