临床骨科杂志2024，Vol.27Issue(2)：204-208,5.DOI:10.3969/j.issn.1008-0287.2024.02.016
胫骨内侧高位截骨术治疗膝骨关节炎的疗效及对膝关节外侧间室软骨病变的影响
The influence of medial high tibial osteotomy on the effect of knee osteoarthritis and cartilage lesion of knee joint lateral compartment
苏柯 1王庆海 1桑卫华 1王军 1马世云 1靳胜利1
作者信息
- 1. 沧州市中心医院关节外科中心,河北 沧州 061000
- 折叠
摘要
Abstract
Objective To investigate the influence of medial high tibial osteotomy(HTO)on the effect of knee osteo-arthritis and cartilage lesion of knee joint lateral compartment.Methods A total of 104 patients who suffered from u-nilateral varus knee osteoarthritis were treated by medial HTO.Arthroscopy was performed again to explore the pro-gression of cartilage lesions in the lateral compartment of the knee joints.They were divided into three groups accord-ing to the cartilage lesion grading of knee joint lateral compartment at osteotomy,group A(Outerbridge degree-Ⅰ,41 cases),group B(Outerbridge degree-Ⅱ,35 cases)and group C(Outerbridge degree-Ⅲ,28 cases).The pan VAS,Ly-sholm scores,WOMAC scores and the cartilage lesion changes of the knee joint lateral compartment in the re-operation were recorded.Results All cases were followed up for 12～32(20.19±4.65)months.The pain VAS,Lysholm scores,WOMAC scores of the three groups were improved in the re-operation than the primary surgery(P<0.05).Before the re-operation,there was no statistical difference in pain VAS between groups A and B(P>0.05),but both groups were better than group C(P<0.05),there were no statistical differences in Lysholm scores and WOMAC scores among three groups(P>0.05).Among three groups,the maximum diameter of cartilage lesion of the knee joint lateral compartment had no differences between the secondary operation and the primary surgery(P>0.05).Conclu-sions For the patients with cartilage lesion(Outerbridge degree Ⅰ～Ⅲ)in the lateral compartment of the knee joint,HTO does not increase the cartilage degeneration of lateral compartment,it can still obtain more satisfactory clin-ical effect.关键词
胫骨高位截骨/膝骨关节炎/膝内翻/关节镜检查Key words
high tibial osteotomy/knee osteoarthritis/knee varus/arthroscopy分类
医药卫生引用本文复制引用
苏柯,王庆海,桑卫华,王军,马世云,靳胜利..胫骨内侧高位截骨术治疗膝骨关节炎的疗效及对膝关节外侧间室软骨病变的影响[J].临床骨科杂志,2024,27(2):204-208,5.
