HTO联合膝关节镜治疗膝骨关节炎的早期疗效观察

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (1314 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the early postoperative efficacy of combining high tibial osteotomy (HTO)with knee arthroscopy for the treatment of knee osteoarthritis.Methods The study included 25 patients who underwent HTO treatment for knee osteoarthritis at the Department of Arthritis，Qilu Hospital of Shandong University between July 2020 and June 2021.The patients consisted of 11 males and 14 females，with ages ranging from 47 to 65 years (mean age：53.84±5.08 years).The study recorded changes in blood indicators before and after surgery，intraoperative bleeding and postoperative drainage volumes，and the occurrence of complications.Follow-up visits were conducted at 6 weeks，3 months，and 6 months after surgery，and the knee joints were evaluated using the visual analogue scale (VAS)and the Hospital for Special Surgery (HSS)Knee Score to assess function and efficacy.Results All patients successfully completed the operation without any serious complications.There were statistically significant differences in some preoperative and postoperative hematological indicators.The preoperative VAS (6.52±1.16)and the postoperative score at 6 months (0.92±0.76)showed statistically significant improvement (P＜0.05)，as did the preoperative HSS (75.16±5.42)and the postoperative score at 6 months (92.36±2.84)(P＜0.05).Conclusion Combining HTO with knee arthroscopy for the treatment of knee osteoarthritis resulted in less intraoperative ischemia and significant improvement in early knee function.These findings suggest that this approach has potential for clinical promotion and application.

Key words： high tibial osteotomy knee osteoarthritis knee arthroscopy early efficacy

Corresponding Authors: Liu Peilai

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Liu Mingxing
	Hao Jie
	Li Songlin
	Miao Zhuang
	Han Kaifei
	Liu Peilai

Cite this article:

Liu Mingxing,Hao Jie,Li Songlin, et al. Observation on the Early Efficacy of HTO Combined with Knee Arthroscopy in the Treatment of Osteoarthritis[J]. sygkzz, 2023, 29(10): 912-.

URL:

http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I10/912

［1］韩国嵩，尹宗生，马广文，等.膝关节单髁置换术与全膝关节置换术治疗膝关节内侧间室骨关节炎初期疗效对比［J］.中华骨与关节外科杂志，2016，9(5)：398-401；406.
［2］赵加松，扶世杰，汪国友，等.关节镜下单髁置换与胫骨高位截骨治疗中重度膝关节单间室骨关节炎的疗效比较［J］.中华创伤骨科杂志，2014，16(2)：179-181.
［3］Kehle T.Multimodal approach to control postoperative pathophysiology and rehabilitation［J］.Br J Anaesth，1997，78(5)：606-617.
［4］中华医学会骨科学分会.骨关节炎诊治指南(2007年版)［J］.中华骨科杂志，2007，27(10)：793-796.
［5］黄野.胫骨高位截骨术治疗膝关节骨关节炎的现状［J/CD］.中华关节外科杂志(电子版)，2016，10(5)：470-473.
［6］杨伟民，李斯明.快速康复外科理念在髋膝关节置换术围术期的应用研究［J］.中华骨与关节外科杂志，2018，11(3)：182-185
［7］Jacobi M，Villa V，Reischl N，et al.Factors influencing posterior tibial slope and tibial rotation in opening wedge high tibial osteotomy［J］.Knee SurgSports Traumatol Arthrosc，2015，23(9)：2762-2768.
［8］Pape D，Lorbach O，Schmitz C，et al.Effect of a biplanar osteotomy on primary stability following high tibial osteotomy：A biomechanical cadaver study［J］.Knee Surg Sports Traumatol Arthrosc，2010，18(2)：204-211.
［9］Arkmen F，Kacira BK，Ozkaya M，et al.Comparison of monoplanar versus biplanar medial opening wedge High tibial osteotomy techniques for preventing lateral cortex fracture［J］.Knee Surg Sports Traumatol Arthrosc，2017，25(9)：2914-2920.
［10］刘培来，张蒙，卢群山.植骨在胫骨高位截骨术中的应用［J］.中华关节外科杂志(电子版)，2016，10(5)：530-534.
［11］Greenwald AS，Boden SD，Goldberg VM，et al.Bone-graft substitutes：facts，fictions，and applications［J］.J Bone Joint Surg (Am)，2001，83(2)：98-103.
［12］Saragaglia D，Blausat M，Inman D，et al.Outcome of opening wedge high tibial osteotomy augment with a Biosorb wedge and fixed with a plate and screws in 124 patients with a mean of ten years follow up［J］.Int Orthop，2011 35(8)：1151-1156.
［13］徐奎帅，张益，申友亮，等.胫骨高位截骨术放置引流管与否对术后失血量及早期并发症发生的影响［J］.中国骨与关节损伤杂志，2020，35(6)：581-584.