[1]宁思敏,姜劲松△,李精敏,等.胫骨内侧高位截骨术后胫骨平台后倾角与膝关节功能评分的相关性[J].中国中医骨伤科杂志,2023,31(10):67-70.[doi:10.20085/j.cnki.issn1005-0205.231014]
　NING Simin,JIANG Jinsong,LI Jingmin,et al.Function Score after High Medial Tibial Osteotomy[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(10):67-70.[doi:10.20085/j.cnki.issn1005-0205.231014]
点击复制

胫骨内侧高位截骨术后胫骨平台后倾角与膝关节功能评分的相关性()
分享到：

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年10期
页码:
67-70
栏目:
临床报道
出版日期:
2023-10-15

文章信息/Info

Title:
Function Score after High Medial Tibial Osteotomy
文章编号:
1005-0205(2023)10-0067-04
作者:
宁思敏1; 姜劲松1△; 李精敏1; 李琦1
1运城市中心医院运动医学科(山西 运城,044000)
Author(s):
NING Simin1; JIANG Jinsong1△; LI Jingmin1; LI Qi1
1Department of Sports Medicine,Yuncheng Central Hospital,Yuncheng 044000,Shanxi China.
关键词:
膝骨关节炎;  截骨术;  胫骨平台;  膝关节功能评分;  相关性分析
Keywords:
knee osteoarthritis;  osteotomy;  tibial plateau;  knee function score;  correlation analysis
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.231014
文献标志码:
B
摘要:
目的:观察膝关节骨性关节炎胫骨内侧高位截骨手术前后胫骨平台后倾角与膝关节功能评分的相关性。方法:回顾性分析自2021年1月至2022年1月,采用关节镜手术联合胫骨内侧高位截骨术治疗的60例膝关节骨性关节炎患者,术后1,3,12个月于侧位X线片测量胫骨平台后倾角,同时对患者进行膝关节功能评分。采用Pearson相关性分析术后胫骨平台后倾角与患者膝关节功能评分的相关性。结果:60例患者均获得12个月随访,随访期间未出现感染、截骨端不愈合、钢板断裂等并发症。术前胫骨平台后倾角为2.74°±0.41°,术后1个月为3.28°±0.82°,术后3个月为6.18°±1.12°,术后12个月为7.15°±2.08°。术前膝关节功能评分为(55.68±5.72)分,术后1个月为(78.98±6.32)分,术后3个月为(82.28±6.59)分,术后12个月为(88.11±7.21)分。Pearson相关性分析结果显示,术后胫骨平台后倾角与术后膝关节功能评分正相关(r=0.625,P<0.001)。结论:胫骨内侧高位截骨术后患者胫骨平台后倾角会变大,与术后患者膝关节功能恢复情况密切相关。
Abstract:
Objective:To observe the correlation between the posterior inclination of tibial plateau and knee function score before and after high medial tibial osteotomy for knee osteoarthritis.Methods:A retrospective analysis was performed on 60 cases of knee osteoarthritis treated by arthroscopic surgery combined with medial high tibial osteotomy from January 2021 to January 2022.The posterior tilt of tibial plateau was measured by lateral radiographs 1,3 and 12 months after surgery,and knee function scores were performed.Pearson correlation was used to analyze the correlation between the posterior inclination of tibial plateau and the knee function score of patients after surgery.Results:All 60 cases were followed up for 12 months,during which there were no complications such as infection,nonunion of osteotomy end and plate fracture.The posterior inclination of tibial plateau was 2.74°±0.41° before surgery,3.28°±0.82° one month after surgery,6.18°±1.12° three months after surgery,and 7.15°±2.08° twelve months after surgery.The knee function score was(55.68±5.72)points before surgery,(78.98±6.32)points one month after surgery,(82.28±6.59)points three months after surgery,and(88.11±7.21)points twelve months after surgery.The result of Pearson correlation analysis showed that the posterior inclination of tibial plateau was positively correlated with the postoperative knee function score(r=0.625,P<0.001).Conclusion:The posterior inclination of tibial plateau decreases after high medial tibial osteotomy,which is closely related to the functional recovery of knee joint.

参考文献/References:

[1] 肖忠林,安丙辰,郑洁皎.膝关节骨性关节炎软骨下骨髓水肿MRI评分[J].中国骨与关节损伤杂志,2020,35(10):1117-1120.
[2] 刘国强,潘浩,王峰,等.开放楔形胫骨高位截骨联合关节镜清理术治疗内侧间室膝骨关节炎的疗效分析[J].生物骨科材料与临床研究,2021,18(6):13-18.
[3] 许健,郭标,马炜,等.胫骨内侧高位截骨术中Miniaci法与力线杆定位法矫正下肢负重力线的精确性比较[J].中国骨与关节损伤杂志,2020,35(6):577-580.
[4] JIN C,SONG E K,SANTOSO A,et al.Survival and risk factor analysis of medial open wedge high tibial osteotomy for unicompartment knee osteoarthritis[J].Arthroscopy,2020,36(2):535-543.
[5] 朱小广,彭庆州,王大鹏.开放与闭合胫骨高位截骨治疗膝骨性关节炎临床对比研究[J].中华老年医学杂志,2021,40(4):491-495.
[6] 祁超,周婷婷,郭东辉,等.个性化截骨导板辅助胫骨高位截骨术治疗膝关节骨性关节炎的临床效果[J].中国中医骨伤科杂志,2022,30(9):20-25.
[7] 许岳,戴小宇,应璞,等.膝关节骨性关节炎患者血脂与行全膝关节置换术后下肢深静脉血栓的相关性研究[J].中国中医骨伤科杂志,2021,29(5):38-42.
[8] 邓迎杰,肖俞臣,方锐.胫骨高位截骨术治疗膝骨关节炎的临床疗效评估及对关节软骨再生的影响[J].骨科,2019,10(2):85-89.
[9] 及松洁,黄野,王达成,等.胫骨高位闭合截骨与开放截骨对胫骨后倾及髌骨高度的影响[J].基础医学与临床,2020,40(10):1394-1398.
[10] FEUCHT M J,WINKLER P W,MEHL J,et al.Isolated high tibial osteotomy is appropriate in less than two-thirds of varus knees if excessive overcorrection of the medial proximal tibial angle should be avoided[J].Knee Surg Sports Traumatol Arthrosc,2021,29(10):3299-3309.
[11] 李宇,王立志,郑秋,等.胫骨高位截骨与膝单髁置换治疗内侧间室骨关节炎的近期疗效比较[J].中国现代医学杂志,2019,29(16):75-79.
[12] 曾建春,曾意荣,罗伟,等.单平面与双平面截骨对OWHTO术后胫骨后倾角的影响[J].实用骨科杂志,2020,26(7):609-613.
[13] 罗浩,向先祥,李瑞欣,等.胫骨外侧平台后倾角对单束解剖重建前交叉韧带术后胫骨隧道扩张的影响研究[J].中国修复重建外科杂志,2021,35(6):697-703.
[14] 林晓东,郑沐欣,夏威夷,等.胫骨后倾角在膝关节手术中的临床意义[J].中华创伤骨科杂志,2019,21(10):914-917.
[15] 宋关阳,倪乾坤,郑峒,等.胫骨前方闭合截骨术在胫骨平台后倾角异常增大的陈旧性前十字韧带损伤重建中的应用[J].中华骨科杂志,2021,41(14):977-984.

备注/Memo

备注/Memo:
△通信作者 E-mail:yczxyyjiang@163.com
更新日期/Last Update: 2023-10-01