|
|
|
| Comparative Analysis of Curative Effect of Open Medial Tibial Osteotomy and Closed Lateral Osteotomy in the treatment of Medial Compartment Osteoarthritis of Knee Joint |
| YANG Hui, SU Qixu, BA Li |
| Anshun People’s Hospital, Guizhou Anshun 561000, China |
|
|
|
|
Abstract Objective: To compare the effects of medial open tibial osteotomy and lateral closing tibial osteotomy on knee medial compartmental osteoarthritis (OA). Methods: The data of 87 patients with knee medial compartmental OA (both one knee) admitted to the hospital from January 2014 to January 2018 were collected. They were divided into open group (medial open tibial osteotomy, n=47) and closing group (lateral closing tibial osteotomy, n=40) according to the treatment Methods. The pain score (VAS), knee function score and osteoarthritis index score before and after surgery were compared between the two groups. The changes of medial proximal tibial angle (MPTA) and femoral tibial angle (FTA) before and after surgery were measured in the two groups. The incidence of surgical complications was statistically analyzed. Results: The visual analogue scale (VAS) scores in the two groups decreased at 3 months after surgery, and the differences were statistically significant between groups (P<0.05). The Hospital for Special Surgery (HSS) scores in the two groups were increased at 3, 6 and 12 months after surgery while the Western Ontario McMaster Universities (WOMAC) scores were decreased (P<0.05), and there were no statistically significant differences between groups (P>0.05). At 12 months after surgery, FTA was decreased while MPTA was increased in the two groups (P<0.05), and there were no significant differences between groups (P>0.05). There was no significant difference in the incidence rate of complications between the two groups (P>0.05). Conclusion: Open medial tibial osteotomy and closed lateral osteotomy can alleviate the pain of patients with medial compartment of knee OA after operation, correct lower limb line of force, and improve joint varus deformity, and the former has relatively few complications.
|
|
|
|
|
|
[1] Dexel J,Fritzsche H,Beyer F,et al.Open-wedge high tibial osteotomy:incidence of lateral cortex fractures and influence of fixation device on osteotomy healing[J].Knee Surg Sports Traumatol Arthrosc,2017,25(3):832~837.
[2] 包学智,赵蓬,刘培来,等.胫骨内侧开放楔形高位截骨治疗膝关节内侧间室骨关节炎的短期疗效[J].山东大学学报(医学版),2016,54(10):85~89.
[3] 胡晓晖,李法印,张鹏,等.膝关节镜清理联合腓骨近端截骨在膝内侧间室病变骨关节炎治疗中的临床研究[J].中国现代医学杂志,2018,28(9):88~93.
[4] Yang LM. Treatment of medial compartment knee osteoarthritis by arthroscopic "L" medial release procedure[J]. Int Orthop, 2017,41(5):2025~2035.
[5] 王亮,陈祁青,童培建,等.膝关节骨性关节炎早期诊断的临床特征分析[J].中国骨与关节损伤杂志,2015,30(2):161~163.
[6] 赵允,胡文晋,黄竞敏,等.内侧撑开高位胫骨截骨术联合调整胫骨平台后倾角治疗屈曲受限型膝内翻骨关节炎的早期疗效[J].中国修复重建外科杂志,2018,32(3):1~5.
[7] Seeger, J.B, Schikschneit, J.P, Schuld, C, et al. Instrumented gait analysis in patients with medial osteoarthritis of the knee after mobile-bearing unicompartmental knee arthroplasty[J]. Knee, 2018, 25(3):392~397.
[8] 程宇,徐明,孙晗,等.胫骨远端前外侧截骨治疗距骨骨软骨损伤[J].中华创伤骨科杂志,2017,19(9):746~749.
[9] Suero E M,Sabbagh Y,Westphal R,et al.Effect of medial opening wedge high tibial osteotomy on intraarticular knee and ankle contact pressures[J].Orthop Res,2015,33(4):598~604.
[10] Wang B, Liu, Qiang W, Barton L, et al. Valgus malalignment and prevalence of lateral compartmental radiographic knee osteoarthritis (OA): The Wuchuan OA study[J]. Int Rheum Dis, 2017, 21(7):1385~1390. |
|
|
|
2019, Vol. 25 
