两种截骨方法联合关节镜治疗内侧膝骨关节炎的早期疗效分析

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Abstract Objective To investigate the efficacy of different osteotomy methods combined with arthroscopy in the treatment of medial knee osteoarthritis.Methods A total of 124 patients with medial knee osteoarthritis in the Eighth People's Hospital of Hebei Province from January 2019 to January 2021 were selected and randomly divided into a double plane group (n＝62) and a single plane group (n＝62).Both groups underwent arthroscopy and high tibial osteotomy (HTO).The biplane group underwent biplane osteotomy，and the single plane group underwent single plane osteotomy.All patients were followed up for 6 months.The perioperative indicators，complications and the excellent and good rate of knee joint function recovery of the two groups were counted and compared the relevant indexes of lower limb force line，including knee varus angle (KVA)，femoral tibia angle (FTA)，medial proximal tibial angle (MPTA)，American hospital for special surgery knee score (HSS)，and visual analogue scale (VAS) before and 6 months after surgery.Results (1)Follow-up of 6 months showed that the bone healing time of the biplane group was shorter than that of the single plane group (P＜0.05).(2)The MPTA of the biplane group was higher than that of the single plane group，and the FTA and KVA of the biplane group were lower than those of the single plane group at 6 months after operation (P＜0.05).(3)The HSS score of the biplane group was higher than that of the single plane group at 6 months after operation，and the VAS score was lower than that of the single plane group (P＜0.05).(4)The complication rate of the biplane group was 1.61%，and the single plane group’s complication rate was 8.06%.The difference was not statistically significant (P＞0.05).(5)The excellent and good rate of knee function recovery in the biplane group(88.71%) was higher than that in the single plane group (74.20%) at 6 months after operation (P＜0.05).Conclusion Arthroscopic combined with biplane osteotomy is superior to arthroscopy combined with single plane osteotomy in improving knee joint function，pain score，lower limb force line and fracture healing.It can be used as one of the effective method to treat medial knee osteoarthritis.

Key words： medial knee osteoarthritis arthroscopy high tibial osteotomy single plane double plane

Corresponding Authors: Zhang Zhongbin

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	Fu Kunpeng
	Zhang Zhongbin
	Zhu Kai
	Zhang Yu
	Li Hua

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Fu Kunpeng,Zhang Zhongbin,Zhu Kai, et al. Efficacy Analysis of Different Osteotomy Methods Combined with Arthroscopy in the Treatment of Medial Knee Osteoarthritis[J]. sygkzz, 2022, 28(10): 879-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I10/879

［1］Kuwahara W，Nakanishi K，Kurumadani H，et al.Total knee arthroplasty for patients with medial knee osteoarthritis improves trunk movement during gait［J］.J Back Musculoskelet Rehabil，2020，33(5)：727-734.
［2］张伟，曹光磊，张志强，等.胫骨高位截骨术治疗膝内翻内侧间室骨关节炎的临床效果［J］.中国医药，2019，14(7)：1066-1069.
［3］Cantivalli A，Rosso F，Bonasia DE，et al.High tibial osteotomy and anterior cruciate ligament reconstruction/revision［J］.Clin Sports Med，2019，38(3)：417-433.
［4］孙建华，罗本泰，万国生，等.胫骨高位截骨联合关节镜清理术治疗膝内翻型关节炎［J］.中国矫形外科杂志，2020，28(9)：853-855.
［5］恽常军，钱文杰，王岩峰，等.胫骨高位截骨联合关节镜手术治疗膝关节内侧骨关节炎［J］.中华创伤骨科杂志，2020，22(9)：808-812.
［6］Nha KW，Shin MJ，Suh DW，et al.Uniplane medial opening wedge high tibial osteotomy relative to a biplane osteotomy can reduce the incidence of lateral-hinge fracture［J］.Knee Surg Sports Traumatol Arthrosc，2020，28(5)：1436-1444.
［7］陈孝平，汪建平.外科学［M］.第8版.北京：人民卫生出版社，2013：783.
［8］向福胜，刘丽，周彬，等.关节镜下清理术辅以伸筋透骨方治疗膝关节骨关节炎的临床研究［J］.中国医药导报，2019，16(6)：130132；141.
［9］刘兵，赵姣妹，任长和，等.红外热成像早期预测带状疱疹后神经痛的临床价值［J］.中国疼痛医学杂志，2020，26(4)：276-281.
［10］Abram SGF，Alvand A，Judge A，et al.Mortality and adverse joint outcomes following septic arthritis of the native knee：A longitudinal cohort study of patients receiving arthroscopic washout［J］.Lancet Infect Dis，2020，20(3)：341-349.
［11］韦明照，李宏宇，尹东，等.体外冲击波联合关节镜术治疗膝关节骨关节炎［J］.中国矫形外科杂志，2020，28(7)：607-612.
［12］白浩，孙海飚，韩晓强，等.胫骨高位截骨与单髁置换治疗膝关节内侧间室骨关节炎的Meta分析［J］.中国组织工程研究，2020，24(30)：4905-4913.
［13］Lee SJ，Ren Y，Chang AH，et al.Plane dependent subject-specific neuromuscular training for knee rehabilitation［J］.IEEE Trans Neural Syst Rehabil Eng，2020，28(8)：1876-1883.
［14］陈为民，王卫军，施鸿飞，等.单髁置换术与胫骨高位截骨术治疗膝关节内侧间室骨关节炎的疗效比较［J］.安徽医药，2019，25(9)：1753-1756.
［15］Moon SW，Ryu JY，Lee SJ，et al.The effect of the sagittal plane osteotomy inclination on the posterior tibial slope in medial open wedge hto：experimental study with a square column model［J］.BMC Musculoskelet Disord，2021，18(1)：89
［16］魏伟，沈计荣.双平面胫骨高位截骨术治疗膝关节内侧间室骨关节炎［J］.中国修复重建外科杂志，2018，32(11)：1406-1410.
［17］王波，罗建成，魏增永，等.胫骨近端双平面开放截骨术联合关节镜清理治疗膝关节内侧间室骨关节炎［J］.中国骨与关节损伤杂志，2019，34(2)：172-174.
［18］曾建春，曾意荣，罗伟，等.单平面与双平面截骨对OWHTO术后胫骨后倾角的影响［J］.实用骨科杂志，2020，26(7)：609-613.
［19］Deng X，Hu H，Liu W，et al.Clinical application of biplanar high tibial osteotomy for varus knee osteoarthritis and posterior cruciate ligament injuries with flattened tibial slope［J］.Asian J Surg，2021，44(6)：918-920.
［20］姬振伟，徐奎，吴鹏，等.双水平截骨在膝关节炎并复杂畸形中的临床研究［J］.实用骨科杂志，2020，26(12)：1087-1092.
［21］Chowdhury JM，Lineham B，Pallett M，et al.Comparison of mechanical performance between circular frames and biplanar distraction devices for knee joint distraction［J］.Strategies Trauma Limb Reconstr，2021，16(2)：71-77.
［22］胡晓晖，赏后来，郝跃东.胫骨高位双平面截骨术治疗膝内侧间室骨关节炎的临床研究［J］.中国骨与关节损伤杂志，2019，34(2)：170-172.
［23］闵翊，王建军，叶超，等.胫骨结节下单平面开放胫骨高位截骨术治疗内侧间室膝骨关节炎的近期效果观察［J］.医学综述，2020，26(2)：403-407.

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