开放楔形胫骨高位截骨术治疗膝内侧间室骨性关节炎的效果及术后2年随访观察  

Effect and 2-year follow-up of open wedge-shaped high tibial osteotomy for medial compartment osteoarthritis of knee

作　　者：欧阳晟[1] 孙秀钦[1] 李森[1] 王华磊[1] Ouyang Sheng;Sun Xiuqin;Li Sen;Wang Hualei(Department of Orthopedics,Nanyang Central Hospital,Nanyang 473000,Nanyang)

机构地区：[1]河南省南阳市中心医院骨科,473000

出　　处：《临床医学》2024年第1期1-4,共4页Clinical Medicine

摘　　要：目的探讨开放楔形胫骨高位截骨术治疗膝内侧间室骨性关节炎的效果,并进行2年的随访观察。方法回顾性分析2019年3月至2021年5月在南阳市中心医院诊断为膝内侧间室骨性关节炎行开放楔形胫骨高位截骨术治疗的128例(169膝)患者的临床资料。比较治疗前后的膝关节评分、疼痛视觉评分(VAS评分)、膝关节活动度及影像学指标,并记录2年内出现的并发症和全膝关节置换术(TKA)翻修情况。结果各项指标均较治疗前有所改善,2年随访中,13例患者脱离,6例患者行TKA翻修。结论开放楔形胫骨高位截骨术治疗膝内侧间室骨性关节炎效果良好,且短期随访结果较为满意,中长期的临床疗效有待进一步观察。Objective To investigate the effect and 2-year follow-up of open wedge high tibial osteotomy in the treatment of medial compartment osteoarthritis of the knee.Methods The clinical data of 128 patients(169 knees)diagnosed with medial ventricular osteoarthritis of the knee who underwent open wedge hight tibial osteotomy in Nanyang Central Hospital from March 2019 to May 2021 were retrospectively analyzed.The knee joint scores,visual pain scale(VAS),knee joint range of motion,and imaging indicators before and after treatment before and after surgery were compared,and the complications and total knee arthroplasty(TKA)revision that occurred within 2 years were recorded.Results All indexes were improved compared with those before treatment.During 2-year follow-up,13 patients were disassociated and 6 patients underwent TKA revision.Conclusions Open wedge high tibial osteotomy has a good effect on medial compartment osteoarthritis of the knee,and the short-term follow-up is satisfactory,and the medium and long-term clinical effect needs further observation.

关 键 词：开放楔形胫骨高位截骨术 骨性关节炎 全膝关节置换术翻修 

分 类 号：R687.4[医药卫生—骨科学]