Koshino胫骨高位截骨结合外固定支架治疗膝内侧髌股型骨关节炎Koshino high tibial osteotomy combined with external fixator for therapy of medial-patellar type knee osteoarthritis
蒋垚;沈灏;顾新丰;罗从风;曾炳芳;
摘要(Abstract):
[目的]介绍Kosh ino胫骨高位截骨结合外固定支架在膝内侧髌股型骨关节炎治疗中的应用。[方法]自1995年1月~2003年1月,笔者采用Kosh ino胫骨高位截骨结合外固定支架治疗36例42膝骨关节炎。全部病例均为内侧髌股型骨关节炎。术前术后测量胫股角,关节功能评估采用日本横滨市立大学膝关节功能评分法。术后2~3周扶拐部分负重,平均10~14周拆除外固定支架。[结果]术后平均随访(18.2±6.7)个月,术后均无伤口感染,关节血肿,关节粘连或骨不连等。但有6例外固定支架钉道感染,有7例轻度深静脉栓塞。术后3~4个月完全恢复步行。膝关节功能评分改变由术前(55±8.2)分至术后(90±7.4)分,胫股角由术前(184.3±5.8)°至术后(170.5±2.2)°。[结论]Kosh ino胫骨高位截骨结合外固定支架是治疗60岁以下膝内侧髌股型骨关节炎的有效方法。
关键词(KeyWords): 骨关节炎;胫骨高位截骨术;外固定支架
基金项目(Foundation):
作者(Author): 蒋垚;沈灏;顾新丰;罗从风;曾炳芳;
Email:
DOI:
参考文献(References):
- [1]林红,龙作林,呈飚,等.小切口开放胫骨高位截骨治疗膝内侧骨关节炎[J].中国矫形外科杂志,2005,13(9):651-652.
- [2]V irolainen P,Aro HT.H igh tib ial osteotomy for the treatm ent of osteo-arthritis of the knee:a review of the literature and a m eta-analysis offollow-up stud ies[J].Arch O rthop Trauma Surg,2004,124(4):258-261.
- [3]Kosh ino T,W ada S,Ara Y,et al.Regeneration of degenerated articu larcartilage after h igh tib ial valgus osteotomy for m ed ial compartm entalosteoarthritis of the knee[J].Knee,2003,10(3):229-236.
- [4]Huang TL,Tseng KF,Chen WM,et al.Preoperative tib iofemoral anglepred icts survival of proximal tib ia osteotomy[J].C lin O rthop RelatRes,2005,432:188-195.
- [5]Pape D,Duchow J,Rupp S,et al.Partial release of the superficialm e-d ial collateral ligam ent for open-wedge h igh tib ial osteotomy a humancadaver study evaluating m ed ial joint open ing by stress rad iography[J].Knee Surg Sports Traumatol Arthrosc,2005.