BMI对骨关节炎患者行胫骨高位开放楔形截骨术后疗效的影响分析

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Abstract Objective To investigate the effect of body mass index (BMI) on high tibial open wedge osteotomy in patients with osteoarthritis (OA) of the medial compartment of the knee joint.Methods From January 2018 to January 2021，100 patients with OA of the medial compartment of the knee were enrolled in Tangdu Hospital.The patients with BMI≥24 kg/m²were divided into group A (52 patients；30 male，22 female).The age was (50.28±4.27)years (range，40~60 years).The patients with BMI<24 kg/m² were divided into group B (48 patients；19 male，29 female).The age was (50.39±4.11)years (range，40~58 years).All patients underwent open wedge high tibial osteotomy(OWHTO)，the changes of Tegner knee movement score，the Western Ontario and McMaster University(WOMAC) arthritis index score，knee function and quality of life were observed before and 3 months after operation.Results The scores of Tegner and WOMAC in group B were significantly higher than those in group A (P＜0.05).The level of pain，range of motion，limitation of movement and extension，varus and varus deformity，walking function and activities of daily living in group B were better than those in group A (P＜0.05).The quality of life in group B was significantly better than those in group A (P＜0.05).Conclusion OWHTO can improve the knee joint function and improve the knee joint motion function in patients with medial compartment osteoarthritis.But the BMI of the patients will affect the curative effect of the operation to some extent.Therefore，we should consider the influencing factors of the BMI of the patients when we treat the patients with OA，and choose a more suitable treatment method for them to maximize the effect of surgery.

Key words： knee medial compartment osteoarthritis open wedge high tibial osteotomy quality of life knee function

Corresponding Authors: Ding Yong

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	Wu Peng
	Ji Zhenwei
	Wang Zhixue
	Feng Chongyang
	Liu Yongming
	Fang Huanming
	Ding Yong

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Wu Peng,Ji Zhenwei,Wang Zhixue, et al. The Effect of Body Mass Indexon the Outcome of Patients with Osteoarthritis After Open Wedge High Tibial Osteotomy[J]. sygkzz, 2022, 28(10): 875-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I10/875

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