内侧开放楔形胫骨高位截骨术治疗膝关节内侧间室骨关节炎伴内翻畸形的短期疗效  

The short-term effect of high tibial osteotomy in the treatment of knee varus with medial compartment osteoarthritis

作　　者：李立[1] 李一凡[1] 符东林[1] 马炜[1] 朱彬 潘檀[1] 樊宗庆[1] 刘晓飞 LI Li;LI Yifan;FU Donglin;MA Wei;ZHU Bin;PAN Tan;FAN Zongqing;LIU Xiaofei(Department of Orthopaedics,Fuyang People’s Hospital,Fuyang 236000,China)

机构地区：[1]阜阳市人民医院骨科,236000

出　　处：《国际骨科学杂志》2022年第1期60-64,共5页International Journal of Orthopaedics

基　　金：阜阳市卫健委课题项目基金(FY2019-023);阜阳市科技局课题项目基金(FK202081031)。

摘　　要：目的评价内侧开放楔形胫骨高位截骨术(OWHTO)治疗膝关节内侧间室骨关节炎伴内翻畸形的短期疗效。方法回顾性分析阜阳市人民医院骨科2017年10月至2019年7月收治的32例经OWHTO治疗的膝关节内侧间室骨关节炎伴内翻畸形患者临床资料,其中男7例,女25例。采用国际膝关节文献委员会膝关节评估表(IKDC评分)及美国特种外科医院膝关节评分(HSS评分)评估患者术后患肢功能结果及恢复情况。结果手术时间为85~180 min,平均(137.66±27.53)min,术中出血量为10~200 mL,平均(68.91±50.51)mL。所有患者均顺利完成手术,术中无神经、血管损伤等严重并发症。术后患者全部获得随访,随访时间为16~37个月,平均(23.22±6.33)个月。术前、术后6个月、术后12个月及末次随访时患者HSS、IKDC评分差异均有统计学意义(P<0.05)。结论在一定的适应证范围内,OWHTO治疗膝关节内侧间室骨关节炎伴内翻畸形在短期内可取得满意疗效。Objective To evaluate the short-term efficacy of opening wedge high tibial osteotomy(OWHTO)in the treatment of knee varus with medial compartment osteoarthritis.Methods A retrospective analysis of the clinical data of 32 patients with knee varus and medial compartment osteoarthritis treated by OWHTO who were admitted to the Department of Orthopedics,Fuyang People's Hospital from October 2017 to July 2019,including 7 males and 25 females.The patient’s postoperative recovery and function were evaluated by the hospital for special surgery(HSS)and the International Knee Documentation Committee(IKDC)scoring system.Results The operation time was 85-180 min,with an average of(137.66±27.53)min.The bleeding volume was 10-200 mL,with an average of(68.91±50.51)mL.All patients completed the operation without serious complications such as nerve and blood vessel damage.All patients were followed up after the operation.The follow-up time was 16-37 months,with an average of(23.22±6.33)months.There were significant differences in the HSS and IKDC scores of patients preoperatively,6 months,12 months and at the last follow-up postoperatively(P<0.05).Conclusion Within a certain range of indications,OWHTO for the treatment of knee varus with medial compartment osteoarthritis can achieve satisfactory result in short-term.

关 键 词：胫骨高位截骨 内侧间室骨关节炎 膝内翻 短期 疗效 

分 类 号：R687.4[医药卫生—骨科学]