胫骨高位截骨治疗膝关节单间室骨性关节炎进展

被引：5

作者：

张功林

章鸣

机构：

[1] 温岭市骨伤科医院

来源：

中国骨伤 | 2007年 / 11期

关键词：

截骨术; 胫骨; 骨关节炎,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：

本文对内侧张开式楔形胫骨高位截骨(HTO)技术治疗膝关节单间室骨性关节炎国外应用进展进行综述。多年来,HTO技术一直被认为是治疗膝关节单间室骨性关节炎很有价值的手术方法。正确的术前评估和手术的精确性,对手术的成功较重要,患者相对年轻、术前关节活动好、单髁性骨性关节炎且伴有膝内翻畸形是最佳的手术适应证。植骨材料的选择包括:自体髂骨块、同种骨和骨替代材料等,但是应用自体髂骨块,仍是当今临床应用的金标准。术中截骨操作时,应用C形臂X线机监测很重要,以防截骨方向偏斜,截骨位置理想后再行植骨。研究资料表明:负重线向外移至胫骨平台宽度的62%～66%处时,治疗效果较满意。患者选择适当、截骨角度准确和不发生手术并发症是手术成功的重要因素。

引用

页码：798 / 800

页数：3

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