“人老膝不老”:膝关节健康管理的全方位探索与实践  

"Aging without Knee Aging":Comprehensive Exploration and Practice of Knee Health Management

作　　者：宋庆成 郑占乐[1,2] 王天瑞 王宇钏[1,2] 张凯旋 纳静 蔚佳昊 杨思繁 宋九宏 张英泽 Song Qingcheng;Zheng Zhanle;Wang Tianrui;Wang Yuchuan;Zhang Kaixuan;Na Jing;Yu Jiahao;Yang Sifan;Song Jiuhong;Zhang Yingze(Trauma Emergency Center of the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Orthopaedic Institution of Hebei Province,Shijiazhuang 050051,China;Knee Preservation Center,Affiliated Hospital of Qingdao University,Laoshan Campus 266035,China;School of Medicine,Nankai University,Tianjin 300000,China;Wuhan Haona Haona Medical Technology Co.,Ltd,Wuhan 430040,China;Key Laboratory of Biomechanics of Orthopaedics of Hebei Province,Shijiazhuang 050051,China;Key Laboratory of Orthopaedic Intelligent Devices of National Health and Wellness Committee,Shijiazhuang 050051,China;Clinical Medical Research Center of Orthopaedic Diseases of Hebei Province,Shijiazhuang 050051,China;Engineering Research Center of Orthopaedic Minimally Invasive Intelligent Devices of Ministry of Education,Shijiazhuang 050051,China;Institute of Engineering,Beijing 100088,China)

机构地区：[1]河北医科大学第三医院创伤急救中心,石家庄050051 [2]河北省骨科研究所,石家庄050051 [3]青岛大学附属医院崂山院区保膝中心,266035 [4]南开大学医学院,天津300071 [5]武汉好娜好娜医疗科技有限公司,430040 [6]河北省骨科生物力学重点实验室,石家庄050051 [7]国家卫生健康委骨科智能器材重点实验室 [8]河北省骨科疾病临床医学研究中心 [9]骨科微创智能器械教育部工程研究中心 [10]中国工程院,北京100088

出　　处：《中华老年骨科与康复电子杂志》2024年第6期321-324,共4页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：国家自然科学青年基金项目(82102584);河北省重点研发计划项目(21377768D);河北省医学科学研究课题计划(20221173)。

摘　　要：本文深入探讨了“人老膝不老”的愿景,强调膝关节健康管理对于维持老年人生活质量的重要性。从预防、科学护膝、精准保膝到深度探索开膝治疗策略,全方位地解析了膝关节健康管理的实践路径。预防阶段,强调控制体重、避免不适当运动、佩戴保护装置和注意保温等措施;科学护膝阶段,提出佩戴合适护膝以提供支撑与保护;精准保膝阶段,探索非置换疗法如关节镜下松解术、高位截骨术和胫骨结节垫高术等,旨在保留关节原有结构的同时缓解疼痛;深度探索阶段,介绍了开膝治疗策略,包括原位开膝、负载开膝和抗阻开膝等方法,以缓解关节挛缩与功能障碍。膝关节的健康管理需要患者、医生和社会的共同努力,通过加强公众教育,提高人们对膝关节健康的认识,共同推动实现“人老膝不老”的美好愿景。This paper deeply discusses the vision of“Aging without Knee Aging”and emphasizes the importance of knee health management for maintaining the quality of life of the elderly.From prevention,scientific knee support,accurate knee protection to deep exploration of knee osteoarthritis pendulum therapy treatment strategy,the practice path of knee health management is analyzed in an all-round way.In the prevention stage,the emphasis is on weight control,avoiding inappropriate exercise,wearing protective devices and paying attention to heat preservation.In the stage of scientific knee protection stage,it is proposed to wear suitable knee pads to provide support and protection;the precision knee preservation stage explores non-replacement therapies,including arthroscopic release,high tibial osteotomy,and tibial tubercle elevation,aiming to alleviate pain while preserving the joint's original structure.In the stage of in-depth exploration,the treatment strategies of knee osteoarthritis pendulum therapy were introduced,including in situ knee osteoarthritis pendulum therapy,load knee osteoarthritis pendulum therapy and resistance knee osteoarthritis pendulum therapy to relieve joint contracture and dysfunction.Effective knee health management re-quires joint efforts from patients,physicians,and society.By enhancing public education and raising awareness about knee health,we can collectively work toward realizing the vision of"Aging without Knee Aging."

关 键 词：膝关节炎 养膝 护膝 保膝 开膝 

分 类 号：R687.4[医药卫生—骨科学]