| 胫骨高位截骨治疗膝关节骨性关节炎 |
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Received:March 20, 2007
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张功林 |
ZHANG Gong-lin |
温岭市骨伤科医院， 浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 317500,Zhejiang,China |
668zgl@163.com |
| 章鸣 |
ZHANG Ming |
温岭市骨伤科医院， 浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 317500,Zhejiang,China |
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| 蔡国荣 |
CAI Guo-rong |
温岭市骨伤科医院， 浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 317500,Zhejiang,China |
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| 郭翱 |
GUO Ao |
温岭市骨伤科医院， 浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 317500,Zhejiang,China |
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| 张文正 |
ZHANG Wen-zheng |
温岭市骨伤科医院， 浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 317500,Zhejiang,China |
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| 胡玉祥 |
HU Yu-xiang |
温岭市骨伤科医院， 浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 317500,Zhejiang,China |
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| 丁法明 |
DING Fa-ming |
温岭市骨伤科医院， 浙江 温岭 317500 |
Orthopaedics and Traumatology Hospital of Wenling City,Wenling 317500,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年21卷，第3期，第211-212页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：总结外侧闭合楔形胫骨高位截骨术(high tibial osteotomy,HTO)治疗膝关节单间室骨性关节炎引起的关节疼痛临床应用结果。
方法：应用外侧闭合楔形HTO治疗9例(男3例，女6例)伴内翻畸形的膝关节单间室骨性关节炎。年龄52～58岁，平均56岁。术中显露胫腓关节近侧，切开前侧关节囊，用骨锯或骨刀去除外侧楔形骨块，闭合截骨处缺损后用”U“形钉固定。
结果：手术顺利，无手术并发症，经2～5.5年(平均3.5年)随访，按膝关节骨性关节炎疗效评定标准：优5例，良好3例，尚可1例。
结论：外侧闭合楔形HTO是治疗膝关节单间室骨性关节炎引起关节疼痛的有效手术方法，但不适用于年龄过大的患者(>60岁). |
| [关键词]:截骨术 胫骨 膝关节 骨关节炎 |
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| High tibial osteotomy for the treatment of osteoarthritis of the knee |
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Abstract:
Objective: To summarize clinical application of the high tibial osteatomy(HTO)with lateral closing-wedge f- or the treatment of pain of unicompartmental osteoarthritis of the knee.
Methods: From February 2000 to February 2004,9 patients(3 males and 6 females,ranging in age from 52 to 58 years,with an average of 56 years)with unicompartmental osteoarthritis of the knee treated by HTO with lateral closing-wedge. The proximal tibiofibular joint was exposed,the anterior part of the capsule was incised,and to remove a laterally based wedge with saw cuts and osteotomes. Stepped staples were used for the fixation of tibial osteotomies after closing the defect of osteotomy.
Results: The operative course was uneventful. There were no complications after operation. The postoperative follow-up period ranged from 2 to 5.5 years(mean,3.5 years). The resul- ts were evaluated with functional assessment criterion of the osteoarthritis of the knee,among the 9 cases,excellent was in 5 cases,good in 3 cases,fair in 1 case.
Conclusion: HTO with lateral closing-wedge is an effective operative method for the treatment of pain of unicompartmental osteoarthritis of the knee,but except for older patients over 60 years. |
| KEYWORDS:Osteotomy Tibia Knee joint Osteoarthritis |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张功林,章鸣,蔡国荣,郭翱,张文正,胡玉祥,丁法明.胫骨高位截骨治疗膝关节骨性关节炎[J].中国骨伤,2008,21(3):211~212 |
| 英文格式: | ZHANG Gong-lin,ZHANG Ming,CAI Guo-rong,GUO Ao,ZHANG Wen-zheng,HU Yu-xiang,DING Fa-ming.High tibial osteotomy for the treatment of osteoarthritis of the knee[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(3):211~212 |
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