胫骨高位截骨术治疗膝内侧单间室骨关节炎的研究进展

被引：18

作者：

张世峰 ^{[1
]}

金群华 ^{[2
]}

机构：

[1] 宁夏医科大学

[2] 宁夏医科大学总医院骨三科

来源：

中华老年骨科与康复电子杂志 | 2018年 / 4卷 / 05期

关键词：

胫骨; 截骨术; 关节炎,膝; 关节成形术,置换,膝;

D O I：

暂无

中图分类号：

R687.3 [骨骼手术];

学科分类号：

100220 [骨科学];

摘要：

骨关节炎(OA)是一种以软骨退行性变为主的疾病。该病常见于老年患者,病程末期可致严重的关节畸形,给患者的心理和生理带来极大的痛苦。胫骨高位截骨术(HTO)作为治疗单间室膝关节骨性关节炎(KOA)的手术方式,是一种安全、可靠的治疗方式。现已被广大医生及患者接受,特别是年轻患者的接受度更高。该技术的主要目的是改变下肢畸形力线,以延缓或解除内侧间室KOA的退行性改变。HTO一直被认为具有技术简单、手术创伤小、畸形矫正精确、术后恢复快等优点。多年来,随着手术技术的不断创新、内固定的不断改良,手术的适应证变得更为广泛。目前普遍认为HTO是一种比较理想的手术方式,长期临床效果良好。本文对近年来胫骨高位截骨术治疗单间室骨性关节炎的术前选择、手术方式、术后疗效、术后并发症及术后长期疗效进行综述。

引用

页码：312 / 316

页数：5

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