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关节镜联合胫骨高位截骨术治疗膝内侧间室合并髌股关节炎的疗效
Efficacy of arthroscopy combined with high tibial osteotomy in treatment of knee medial compartmental and patellofemoral arthritis
- 局解手术学杂志 2023年32卷第9期 页码：817-820
- 作者机构：
佛山市第二人民医院骨科中心，广东 佛山 528000
- 作者简介：
邱华耀，E-mail：qhytp@126.com
- 基金信息：2021年度佛山市科技攻关项目(2020001005780)
DOI：10.11659/jjssx.03E023160
中图分类号： R684.3纸质出版日期：2023-09-25，
收稿日期：2023-03-26，
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吴华,皇甫小桥,邱华耀等.关节镜联合胫骨高位截骨术治疗膝内侧间室合并髌股关节炎的疗效[J].局解手术学杂志,2023,32(09):817-820.
WU Hua,HUANGFU Xiao-qiao,QIU Hua-yao,et al.Efficacy of arthroscopy combined with high tibial osteotomy in treatment of knee medial compartmental and patellofemoral arthritis[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(09):817-820.
吴华,皇甫小桥,邱华耀等.关节镜联合胫骨高位截骨术治疗膝内侧间室合并髌股关节炎的疗效[J].局解手术学杂志,2023,32(09):817-820. DOI： 10.11659/jjssx.03E023160.
WU Hua,HUANGFU Xiao-qiao,QIU Hua-yao,et al.Efficacy of arthroscopy combined with high tibial osteotomy in treatment of knee medial compartmental and patellofemoral arthritis[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(09):817-820. DOI： 10.11659/jjssx.03E023160.
摘要
目的
2
探讨关节镜联合胫骨高位截骨术治疗膝内侧骨关节炎合并髌股关节炎的临床疗效。
方法
2
纳入我院采用关节镜结合胫骨高位截骨术治疗的膝内侧间室合并髌股关节炎患者15例，患者先行关节镜下髌骨成形、外侧支持带松解、髌周去神经化手术，再行胫骨高位截骨术。记录患者手术相关情况，比较患者术前及术后6个月膝关节美国特种外科医院(HSS)评分，疼痛视觉模拟量表(VAS)评分，测量手术前后胫股角(FTA)评估临床疗效。
结果
2
患者手术均顺利完成，手术时间（90±26）min，术后切口均Ⅰ期愈合，术中及术后均无严重并发症发生。相较术前，患者术后膝关节疼痛症状均有所改善，术后12周均骨性愈合。术后FTA矫正了9°~25°，纠正至正常范围内，临床疗效显著，与术前比较显著改善（
P
<
0.05）。与术前对比，术后6个月VAS评分显著降低，膝关节HSS评分明显升高，差异均有统计学意义（
P
<
0.05）。
结论
2
关节镜联合胫骨高位截骨术治疗膝内侧骨关节炎合并髌股关节炎的近期疗效较好，但远期疗效有待进一步观察。
Abstract
Objective
2
To explore the clinical efficacy of arthroscopy combined with high tibial osteotomy in treatment of knee medial compartmental osteoarthritis and patellofemoral arthritis.
Methods
2
A total of 15 patients with knee medial compartmental osteoarthritis and patellofemoral arthritis who treated by arthroscopy combined with high tibial osteotomy in our hospital were included， they all received arthroscopic patelloplasty，lateral patellar retinaculum release and circumpatellar denervation， and then high tibial osteotomy.The surgery-related conditions of patients were recorded， and the American hospital for special surgery （HSS） score of the knee joint and the pain visual analogue scale （VAS） score before and 6 months after surgery were compared.The femorotibial angles （FTA） before and after surgery were measured to evaluate the clinical efficacy.
Results
2
The surgeries of patient were successfully completed， with an average operation time of （90±26） minutes.The postoperative incisions healed in stage I，without serious complications during or after surgery.The symptoms of postoperative knee pain were improved compared with those before surgery，with bone healing of 12 weeks after surgery.Postoperative FTA was corrected by 9°~25°to the normal range， and the clinical efficacy was remarkable， which was significantly improved compared with that before surgery （
P
<
0.05）.The VAS score 6 months after operation decreased significantly and the HSS score of knee joint 6 months after operation increased significantly compared with those before surgery， with statistically significant differences （
P
<
0.05）.
Conclusion
2
Arthroscopy combined with high tibial osteotomy in the treatment of knee medial compartmental and patellofemoral arthritis has good short-term clinical efficacy， but the long-term efficacy needs further observaiton.
关键词
关节镜胫骨高位截骨膝内侧间室骨关节炎髌股关节炎疗效
Keywords
arthroscopyhigh tibial osteotomyknee medial compartmental osteoarthritispatellofemoral arthritisclinical effect
references
任富继，黄竞敏，陈啸，等.中度与重度内侧单间室骨关节炎内侧开放楔形胫骨高位截骨术的疗效比较［J］.中华骨科杂志，2022，42（9）：545-554.doi：10.3760/cma.j.cn121113-20211228-00757http://dx.doi.org/10.3760/cma.j.cn121113-20211228-00757.
黄野.胫骨高位截骨术治疗膝关节骨关节炎的现状［J］.中华关节外科杂志（电子版），2016，10（5）：470-473.doi：10.3877/cma.j.issn.1674-134X.2016.05.001http://dx.doi.org/10.3877/cma.j.issn.1674-134X.2016.05.001.
Spahn G，Hofmann GO，von Engelhardt LV，et al.The impact of a high tibial valgus osteotomy and unicondylar medial arthroplasty on the treatment for knee osteoarthritis：a meta-analysis［J］.Knee Surg Sports Traumatol Arthrosc，2013，21（1）：96-112.doi：10.1007/s00167-011-1751-2http://dx.doi.org/10.1007/s00167-011-1751-2.
王亮，叶如卿，陈先武，等.关节镜下髌骨成形、外侧支持带松解及髌周去神经化治疗中、重度髌股关节炎［J］.中华创伤杂志，2017，33（8）：743-749.doi：10.3760/cma.j.issn.1001-8050.2017. 08.015http://dx.doi.org/10.3760/cma.j.issn.1001-8050.2017.08.015.
Bonasia DE，Dettoni F，Sito G，et al.Medial opening wedge high tibial osteotomy for medial compartment overload/arthritis in the varus knee：prognostic factors［J］.Am J Sports Med，2014，42（3）：690-698.doi：10.1177/0363546513516577http://dx.doi.org/10.1177/0363546513516577.
Flamme CH，Rühmann O，Schmolke S，et al.Long-term outcome following high tibial osteotomy with tension bend principle［J］.Arch Orthop Trauma Surg，2003，123（1）：12-16.doi：10.1007/s00402-002-0446-zhttp://dx.doi.org/10.1007/s00402-002-0446-z.
Choi HR，Hasegawa Y，Kondo S，et al.High tibial osteotomy for varus gonarthrosis：a 10- to 24-year follow-up study［J］.J Orthop Sci，2001，6（6）：493-497.doi：10.1007/s007760100003http://dx.doi.org/10.1007/s007760100003.
Billings A，Scott DF，Camargo MP，et al.High tibial osteotomy with a calibrated osteotomy guide，rigid internal fixation，and early motion.Long-term follow-up［J］.J Bone Joint Surg Am，2000，82（1）：70-79.doi：10.2106/00004623-200001000-00009http://dx.doi.org/10.2106/00004623-200001000-00009.
Polat G，Balcı Hİ，Çakmak MF，et al.Long-term results and comparison of the three different high tibial osteotomy and fixation techniques in medial compartment arthrosis［J］.J Orthop Surg Res，2017，12（1）：44.doi：10.1186/s13018-017-0547-6http://dx.doi.org/10.1186/s13018-017-0547-6.
侯延超，魏杰，贾中伟，等.胫骨高位截骨治疗膝骨性关节炎中长期疗效分析［J］.中国骨伤，2016，29（9）：795-799.doi：10.3969/j.issn.1003-0034.2016.09.005http://dx.doi.org/10.3969/j.issn.1003-0034.2016.09.005.
刘劲松，李智尧.胫骨高位闭合截骨联合关节镜手术治疗膝关节内侧骨关节炎5年以上随访［J］.中国骨伤，2013，26（9）：748-752.doi：10.3969/j.issn.1003-0034.2013.09.011http://dx.doi.org/10.3969/j.issn.1003-0034.2013.09.011.
Benzakour T，Hefti A，Lemseffer M，et al.High tibial osteotomy for medial osteoarthritis of the knee：15 years follow-up［J］.Int Orthop，2010，34（2）：209-215.doi：10.1007/s00264-009-0937-4http://dx.doi.org/10.1007/s00264-009-0937-4.
Saragaglia D，Blaysat M，Inman D，et al.Outcome of opening wedge high tibial osteotomy augmented 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.doi：10.1007/s00264-010-1102-9http://dx.doi.org/10.1007/s00264-010-1102-9.
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