[1]何君源,郑炜宏△,唐剑邦.测量截骨联合间隙平衡截骨技术在全膝关节置换术患者治疗中的应用[J].中国中医骨伤科杂志,2024,32(08):13-17.[doi:10.20085/j.cnki.issn1005-0205.240803 ]
　HE Junyuan,ZHENG Weihong,TANG Jianbang.Measuring Osteotomy Combined with Space Balance Osteotomy in Patients with Total Knee Arthroplasty[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2024,32(08):13-17.[doi:10.20085/j.cnki.issn1005-0205.240803 ]
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测量截骨联合间隙平衡截骨技术在全膝关节置换术患者治疗中的应用()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第32卷
期数:
2024年08期
页码:
13-17
栏目:
临床研究
出版日期:
2024-08-15

文章信息/Info

Title:
Measuring Osteotomy Combined with Space Balance Osteotomy in Patients with Total Knee Arthroplasty
文章编号:
1005-0205(2024)08-0013-05
作者:
何君源1; 郑炜宏1△; 唐剑邦1
1广州中医药大学附属中山中医院(广东 中山,528400)
Author(s):
HE Junyuan1; ZHENG Weihong1△; TANG Jianbang1
1Zhongshan Hospital of Chinese Medicine Affiliated to Guangzhou University of Chinese Medicine,Zhongshan 528400,Guangdong China.
关键词:
测量截骨;  间隙平衡截骨;  全膝关节置换术;  内翻角;  关节功能
Keywords:
measuring osteotomy;  space balance osteotomy;  total knee arthroplasty;  inverted angle;  joint function
分类号:
R687.4
DOI:
10.20085/j.cnki.issn1005-0205.240803
文献标志码:
A
摘要:
目的:探讨测量截骨联合间隙平衡截骨技术在全膝关节置换术患者中的应用效果。方法:选取行全膝关节置换术的94例患者,根据术中截骨技术不同分组,采用单一测量截骨治疗纳入单一组(46例),采用测量截骨联合间隙平衡截骨技术的患者作为联合组(48例),比较两组患者术后膝关节内翻角及关节功能。结果:联合组手术时间及术后至下床时间短于单一组,股骨内后髁截骨厚度高于单一组(P<0.05); 术后膝关节内翻角及截骨板相对后踝线旋转角小于单一组,股骨假体旋转角大于单一组(P<0.05); 术后1个月,联合组美国膝关节协会评分(KSS)、膝关节活动度(ROM)均高于单一组(P<0.05)。结论:测量截骨联合间隙平衡截骨技术能够获得更好的膝关节内翻角,促进全膝关节置换术患者术后早期膝关节功能恢复。
Abstract:
Objective:To investigate the efficacy of measuring osteotomy combined with space balance osteotomy in patients with total knee arthroplasty.Methods:94 patients who underwent total knee arthroplasty were selected and grouped according to different intraoperative osteotomy techniques.Patients treated with a single measuring osteotomy were included in a single group(46 cases),while patients treated with a measuring osteotomy combined with space balance osteotomy were included in the combination group(48 cases).The postoperative knee joint varus angle and joint function were compared between the two groups.Results:The surgical time and time to get out of bed of the combination group were shorter than those of the single group,and the thickness of the femoral posterior condyle osteotomy was higher than that of the single group(P<0.05); the postoperative knee joint varus angle and osteotomy plate relative posterior ankle line rotation angle were smaller than those in the single group,while the femoral prosthesis rotation angle was greater than that in the single group(P<0.05); the knee society score(KSS)and knee joint range of motion(ROM)in the combination group were higher than those in the single group one month after surgery(P<0.05).Conclusion:The measuring osteotomy combined with space balance osteotomy technique can obtain better knee varus angle and promote the early recovery of knee function after total knee arthroplasty.

参考文献/References:

[1] 田文明,耿登峰,周恩昌,等.个体化股骨后髁旋转测量截骨在膝关节骨性关节炎全膝关节置换术中的应用效果[J].临床误诊误治,2023,36(2):90-93.
[2] 胡泽森,夏磊,郝非凡,等.间隙平衡技术与测量截骨技术在内翻膝骨性关节炎患者全膝关节置换术中的应用效果比较[J].新乡医学院学报,2022,39(12):1145-1154.
[3] 吴迪,司丽娜,武丽珠,等.两种不同截骨方式对全膝关节术后患者下肢力线和软骨退变的影响[J].实用医学杂志,2022,38(4):415-420.
[4] 杨溯,王月鹏,韩鹏飞.间隙平衡技术与测量截骨技术在全膝人工关节置换术应用的Meta分析[J].中国药物与临床,2022,22(7):603-613.
[5] 王月鹏,杨溯,秦石磊,等.间隙平衡与测量截骨技术对全膝关节置换术疗效影响的Meta分析[J].中华老年病研究电子杂志,2022,9(4):30-39.
[6] 齐志远,陈秀民,王在斌,等.测量截骨联合间隙平衡截骨技术在全膝关节置换术中的应用研究[J].中华骨科杂志,2021,41(9):541-551.
[7] 王英.TKA术中间隙平衡与测量截骨技术行股骨外旋截骨的疗效分析[J].世界复合医学,2022,8(3):30-43.
[8] 中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南(2018年版)[J].中华骨科杂志,2018,38(12):705-715.
[9] 朴俊杰,张一波,陈晓伟,等.人工全膝关节置换术中联合股骨外髁滑移截骨术矫正股骨外弓畸形的疗效分析[J].中国修复重建外科杂志,2022,36(2):183-188.
[10] 文鹏飞,郝林杰,王军,等.间隙平衡和测量截骨技术在分期双侧全膝关节置换术中的对比研究[J].中华医学杂志,2022,102(37):2926-2932.
[11] TAPASVI S R,SHEKHAR A,PATIL S S,et al.Comparison of gap balancing vs measured resection technique in patients undergoing simultaneous bilateral total knee arthroplasty:one technique per knee[J].J Arthroplasty,2020,35(3):732-740.
[12] LEE S Y,LIM H C,JANG K M,et al.What factors are associated with femoral component internal rotation in TKA using the gap balancing technique[J].Clin Orthop Relat Res,2017,475(8):1999-2010.
[13] 陆斌,杨卧龙,高胜山,等.测量截骨联合间隙平衡技术在全膝关节置换股骨外旋截骨中的应用[J].中国组织工程研究,2020,24(15):2323-2328.
[14] BABAZADEH S,DOWSEY M M,VASIMALLA M G,et al.Gap balancing sacrifices joint-line maintenance to improve gap symmetry:5-year follow-up of a randomized controlled trial[J].J Arthroplasty,2018,33(1):75-78.
[15] 胡艳辉,宋达,苑振峰,等.测量截骨联合间隙平衡技术在全膝关节置换术中的应用[J].实用骨科杂志,2022,28(7):596-601.
[16] SCHNASER E,LEE Y Y,BOETTNER F,et al.The position of the patella and extensor mechanism affects intraoperative compartmental loads during total knee arthroplasty:a pilot study using intraoperative sensing to guide soft tissue balance[J].J Arthroplasty,2015,30(8):1348-1353.
[17] 林奇益,林智军,李玉茂,等.全膝关节置换术中测量截骨与间隙平衡技术对股骨外旋截骨参数及膝关节功能的影响[J].中国骨与关节损伤杂志,2021,36(6):571-575.
[18] 苗卫华,王宏,李康.测量截骨联合间隙平衡全膝关节置换治疗膝骨关节炎[J].中国矫形外科杂志,2021,29(14):1254-1258.
[19] 范霖,杨东,刘凯缘,等.全膝关节置换术中间隙平衡截骨与测量截骨技术的对照研究[J].中华骨科杂志,2019,39(15):935-943.
[20] 柴瑞宝,刘瑞,张子安.间隙平衡与测量截骨技术在全膝关节置换的比较[J].中国矫形外科杂志,2020,28(9):804-808.

备注/Memo

备注/Memo:
基金项目:中山市社会公益科技研究项目(2019B1003) △通信作者 E-mail:c79uid@163.com
更新日期/Last Update: 2024-08-05