内侧开放楔形胫骨高位截骨术治疗膝关节内侧间室骨关节炎伴内翻畸形的短期疗效

被引：10

作者：

李立

李一凡

符东林

马炜

朱彬

潘檀

樊宗庆

刘晓飞

机构：

[1] 阜阳市人民医院骨科

来源：

国际骨科学杂志 | 2022年 / 01期

关键词：

胫骨高位截骨; 内侧间室骨关节炎; 膝内翻; 短期; 疗效;

D O I：

暂无

中图分类号：

R687.4 [关节手术];

学科分类号：

100220 [骨科学];

摘要：

目的评价内侧开放楔形胫骨高位截骨术（OWHTO）治疗膝关节内侧间室骨关节炎伴内翻畸形的短期疗效。方法回顾性分析阜阳市人民医院骨科2017年10月至2019年7月收治的32例经OWHTO治疗的膝关节内侧间室骨关节炎伴内翻畸形患者临床资料，其中男7例，女25例。采用国际膝关节文献委员会膝关节评估表（IKDC评分）及美国特种外科医院膝关节评分（HSS评分）评估患者术后患肢功能结果及恢复情况。结果手术时间为85～180 min，平均（137.66±27.53） min，术中出血量为10～200 mL，平均（68.91±50.51） mL。所有患者均顺利完成手术，术中无神经、血管损伤等严重并发症。术后患者全部获得随访，随访时间为16～37个月，平均（23.22±6.33）个月。术前、术后6个月、术后12个月及末次随访时患者HSS、IKDC评分差异均有统计学意义（P <0.05）。结论在一定的适应证范围内，OWHTO治疗膝关节内侧间室骨关节炎伴内翻畸形在短期内可取得满意疗效。

引用

页码：60 / 64

页数：5

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