401120 重庆,重庆医科大学附属第三医院(捷尔医院)骨科
Received:18 April 2023,
Revised:2023-05-25,
Published:15 February 2024
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Huilin ZHANG, Feng XIE, Mingdeng XU, et al. Correlation of degenerative meniscus injury with lower limb alignment: a clinical report of 90 cases[J]. Journal of Army Medical University, 2024, 46(3): 283-287.
Huilin ZHANG, Feng XIE, Mingdeng XU, et al. Correlation of degenerative meniscus injury with lower limb alignment: a clinical report of 90 cases[J]. Journal of Army Medical University, 2024, 46(3): 283-287. DOI: 10.16016/j.2097-0927.202304080.
目的
2
比较退变性内侧半月板损伤与外侧半月板损伤之间下肢力线差异,探究半月板损伤与下肢力线之间的关系。
方法
2
收集2019年3月至2022年3月经关节镜手术治疗的退变性半月板损伤患者90例,其中男性45例,女性45例;年龄40~59岁,中位年龄52岁。内侧半月板损伤组47例,外侧半月板损伤组43例。在全长片上测量髋-膝-踝角(HKA角)并比较两组间差异。
结果
2
内侧半月板损伤组与外侧半月板损伤组患者性别、年龄、下肢侧别、体质量指数、损伤部位、损伤类型差异无统计学意义。内侧半月板损伤组HKA角为(177.20±2.46)°,外侧半月板损伤组为(181.05±3.13)°,两组差异有统计学意义(
P
<0.01)。
结论
2
退变性内侧半月板损伤与外侧半月板损伤之间HKA角存在差异,下肢力线与退变性半月板损伤存在关联。
Objective
2
To compare the differences in lower limb force line between degenerative medial meniscus injuries and lateral meniscus injuries and investigate their correlation.
Methods
2
A total of 90 patients who underwent arthroscopic treatment for meniscal injuries between March 2019 and March 2022 were enrolled in the study. They were 45 males and 45 females
at a median age of 52 years (ranging from 40 to 59 years). Of these patients
47 had medial meniscus injuries
while 43 had lateral meniscus injuries. The hip-knee-ankle (HKA) angle was measured on full-length films
and the differences were compared between the 2 groups.
Results
2
There were no significant differences in terms of gender
age
lower limb laterality
body mass index
site of injury
and type of injury between the medial meniscus injury group and the lateral meniscus injury group. Statistical difference was observed in the mean HKA angle
with a value of (177.20±2.46)° in the medial meniscus injury group and of (181.05±3.13)° in the lateral meniscus injury group (
P
<
0.01).
Conclusion
2
There is a significant difference in HKA angle between medial meniscus injury group and the lateral meniscus injury group. A correlation is found between lower limb alignment and degenerative meniscus injury.
SIHVONEN R, PAAVOLA M, MALMIVAARA A, et al . Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial[J ] . Ann Rheum Dis, 2018, 77(2): 188-195. DOI: 10.1136/annrheumdis-2017-211172.
BEAUFILS P, BECKER R, KOPF S, et al . Surgical management of degenerative Meniscuslesions: the 2016 ESSKA Meniscus consensus[J ] . Joints, 2017, 5(2): 59-69. DOI: 10.1055/s-0037-1603813.
CREMA M D, ROEMER F W, FELSON D T, et al . Factors associated with meniscal extrusion in knees with or at risk for osteoarthritis: the Multicenter Osteoarthritis study[J ] . Radiology, 2012, 264(2): 494-503. DOI: 10.1148/radiol.12110986.
KIM D H, LEE G C, KIM H H, et al . Correlation between meniscal extrusion and symptom duration, alignment, and arthritic changes in medial meniscus posterior root tear: research article[J ] . Knee Surg Relat Res, 2020, 32(1): 2. DOI: 10.1186/s43019-019-0019-x.
JING L Z, LIU K, WANG X L, et al . Second-look arthroscopic findings after medial open-wedge high tibial osteotomy combined with all-inside repair of medial meniscus posterior root tears[J ] . J Orthop Surg, 2020, 28(1): 2309499019888836. DOI: 10.1177/2309499019888836.
MORELAND J R, BASSETT L W, HANKER G J. Radiographic analysis of the axial alignment of the lower extremity[J]. J Bone Joint Surg Am, 1987, 69(5): 745-749.
SHARMA L, CHMIEL J S, ALMAGOR O, et al . The role of varus and valgus alignment in the initial development of knee cartilage damage by MRI: the MOST study[J ] . Ann Rheum Dis, 2013, 72(2): 235-240. DOI: 10.1136/annrheumdis-2011-201070.
仲鹤鹤, 金瑛, 刘修齐, 等. 胫骨高位截骨联合关节镜手术治疗膝内翻骨关节炎的近期疗效及二次关节镜探查结果[J]. 中国修复重建外科杂志, 2022, 36(8): 969-975.
ZHONG H H, JIN Y, LIU X Q, et al . Short-term effectiveness of high tibial osteotomy combined with arthroscopic surgery for knee varus arthritis and the results of secondary arthroscopic exploration[J ] . Chin J Repar Reconstr Surg, 2022, 36(8): 969-975.
SEO Y J, KIM S J, JUNG D, et al . Collagenous ultrastructure of the torn medial meniscus posterior root: at ransmission electron microscopy study[J ] . Am J Sports Med, 2019, 47(13): 3221-3228. DOI: 10.1177/0363546519876110.
ALLAIRE R, MURIUKI M, GILBERTSON L, et al . Biomechanical consequences of a tear of the posterior root of the medial meniscus. Similar to total meniscectomy[J ] . J Bone Joint Surg Am, 2008, 90(9): 1922-1931. DOI: 10.2106/JBJS.G.00748.
BROWN M J, FARRELL J P, KLUCZ YNSKI M A, et al . Biomechanical effects of a horizontal medial meniscal tear and subsequent leaflet resection[J ] . Am J Sports Med, 2016, 44(4): 850-854. DOI: 10.1177/0363546515623782.
AHMED A M, BURKE D L, YU A. In-vitro measurement of static pressure distribution in synovial joints-part Ⅱ: retropatellar surface[J ] . J Biomech Eng, 1983, 105(3): 226-236. DOI: 10.1115/1.3138410.
BARATZ M E, FU F H, MENGATO R. Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report[J]. Am J Sports Med, 1986, 14(4): 270-275. DOI: 10.1177/036354658601400405.
WOLSKI M, PODSIADLO P, STACHOWIAK G W, et al . Differences in trabecular bone texture between knees with and without radiographic osteoarthritis detected by directional fractal signature method[J ] . Osteoarthritis Cartilage, 2010, 18(5): 684-690. DOI: 10.1016/j.joca.2010.01.002.
YOON K H, LEE S H, BAE D K, et al . Does varus alignment increase after medial meniscectomy?[J ] . Knee Surg Sports Traumatol Arthrosc, 2013, 21(9): 2131-2136. DOI: 10.1007/s00167-012-2261-6.
PENGAS I P, ASSIOTIS A, NASH W, et al . Total meniscectomy in adolescents: a 40-year follow-up[J ] . J Bone Joint Surg Br, 2012, 94(12): 1649-1654. DOI: 10.1302/0301-620X.94B12.30562.
PRIMEAU C A, BIRMINGHAM T B, LEITCH K M, et al . Degenerative meniscal tears and high tibial osteotomy: do current treatment algorithms need to be realigned?[J ] . Clin Sports Med, 2019, 38(3): 471-482. DOI: 10.1016/j.csm.2019.02.010.
JIANG E X, ABOULJOUD M M, EVERHARTJ S, et al . Clinical factors associated with successful meniscal root repairs: a systematic review[J ] . Knee, 2019, 26(2): 285-291. DOI: 10.1016/j.knee.2019.01.005.
LEE B S, BIN S I, KIM J M, et al . Partial meniscectomy for degenerative medial meniscal root tears shows favorable outcomes in well-aligned, nonarthritic knees[J ] . Am J Sports Med, 2019, 47(3): 606-611. DOI: 10.1177/0363546518819225.
ENGLUND M, ROOS E M, ROOS H P, et al . Patient-relevant outcomes fourteen years after meniscectomy: influence of type of meniscal tear and size of resection[J ] . Rheumatology (Oxford), 2001, 40(6): 631-639. DOI: 10.1093/rheumatology/40.6.631.
HERRLIN S, HÅLLANDER M, WANGE P, et al . Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial[J ] . Knee Surg Sports Traumatol Arthrosc, 2007, 15(4): 393-401. DOI: 10.1007/s00167-006-0243-2.
LI J T, ZHU W N, GAO X, et al . Comparison of arthroscopic partial meniscectomy to physical therapy following degenerative meniscus tears: a systematic review and meta-analysis[J ] . Biomed ResInt, 2020, 2020: 1709415. DOI: 10.1155/2020/1709415.
WILLINGER L, LANG J J, BERTHOLD D, et al . Varus alignment aggravates tibiofemoral contact pressure rise after sequential medial meniscus resection[J ] . Knee Surg Sports Traumatol Arthrosc, 2020, 28(4): 1055-1063. DOI: 10.1007/s00167-019-05654-5.
WILLINGER L, FOEHR P, ACHTNICH A, et al . Effect of lower limb alignment in medial meniscus-deficient knees on tibiofemoral contact pressure[J ] . Orthop J Sports Med, 2019, 7(2): 2325967118824611. DOI:10.1177/2325967118824611.
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