[1]郭高鹏,王 强,张 晨,等.胫骨高位截骨术治疗膝骨性关节炎相关研究进展*[J].陕西医学杂志,2020,49(9):1195-1198.[doi:DOI:10.3969/j.issn.1000-7377.2020.09.037]
　GUO Gaopeng,WANG Qiang,ZHANG Chen,et al.Research progress of high tibial osteotomy in the treatment of knee osteoarthritis[J].,2020,49(9):1195-1198.[doi:DOI:10.3969/j.issn.1000-7377.2020.09.037]
点击复制

胫骨高位截骨术治疗膝骨性关节炎相关研究进展*
分享到：

《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
49
期数:
2020年9期
页码:
1195-1198
栏目:
综述
出版日期:
2020-09-01

文章信息/Info

Title:
Research progress of high tibial osteotomy in the treatment of knee osteoarthritis
作者:
郭高鹏1; 王 强1; 张 晨1; 杨 超1; 宋国瑞1; 刘子歌1; 陈德胜2△
1.宁夏医科大学临床医学院(银川 750004); 2.宁夏医科大学总医院骨科(银川 750004)
Author(s):
GUO Gaopeng; WANG Qiang; ZHANG Chen; et al.
School of Clinical Medicine,Ningxia Medical University(Yinchuan 750004)
关键词:
膝骨性关节炎;  胫骨高位截骨术;  关节镜;  腓总神经;  胫骨后倾角度;  腓骨
Keywords:
Knee osteoarthritis;  High tibial osteotomy;  Arthroscopy;  Common peroneal nerve;  Posterior tibial angle;  Fibula
分类号:
R687.3
DOI:
DOI:10.3969/j.issn.1000-7377.2020.09.037
文献标志码:
A
摘要:
膝骨性关节炎(KOA)的手术治疗方式有多种。近年来胫骨高位截骨术(HTO)作为一种保膝手术也逐渐受到患者青睐,尤其是对于年轻、活动量较大的患者,不仅可以有效缓解疼痛,而且可以为后期关节置换保留一定的骨量。现就HTO治疗KOA的适应证与禁忌证、手术优势及注意事项、术后骨填充、并发症及生存率、临床疗效等相关研究进展进行综述。
Abstract:
There are many surgical treatments for knee osteoarthritis(KOA).In recent years,high tibial osteotomy(HTO)has gradually been favored by patients as a knee-saving surgery,especially for young patients with large amounts of activity,which can not only effectively relieve pain,but also retain a certain amount of bone for later joint replacement.In this paper,the indications and contraindications,surgical advantages and precautions,postoperative bone filling,complications and survival rate,clinical efficacy and other related research progress in the treatment of KOA by HTO were reviewed.

参考文献/References:

[1] 陈浩城.关节镜下关节清理术联合腔内注射玻璃酸钠治疗膝关节骨性关节炎临床效果及膝关节功能评价[J].陕西医学杂志,2018,47(3):344-346.
[2] 关春辉,周占锋,李 沛.益肾荣筋汤辅助胫骨高位截骨治疗膝骨关节炎疗效及对患者关节液内细胞因子表达水平的影响[J].陕西中医,2019,40(5):616-619.
[3] Pipino G,Indelli PF,Tigani D,et al.Opening-wedge high tibial osteotomy:a seven-to twelve-year study[J].Joints,2016,4(1):6-11.
[4] Zuiderbaan HA,van der List JP,Appelboom P,et al.Modern indications,results,and global trends in the ues of unicompartmental knee arthroplasty and high tibial osteotomy in the treatment of isolated medial compartment osteoarthritis [J].Am J Orthop(Belle Mead NJ),2016,45(6):355-361.
[5] 赵 飞,张剑刚,李存祥,等.腓骨截骨与关节镜下清理术治疗膝骨关节炎伴轻度膝内翻疗效分析[J].实用骨科杂志,2016,22(9):852-855.
[6] Brinkman JM,Lobenhoffer P,Agneskirchner JD,et al.Osteotomies around the knee:patient selection,stability of fixation and bone healing in high tibia steotomies[J].J Bone Joint Surg Br,2008,90(12):1548-1557.
[7] Hinterwimmer S.Positive and negative predictors of long-term results after an osteotomy around the knee joint[J].Orthopade,2017,46(7):563-568.
[8] Niemeyer P,Stöhr A,Köhne M,et al.Medial opening wedge high tibial osteotomy[J].Oper Orthop Traumatol,2017,29(4):294-305.
[9] Han SB,Lee JH,Kim SG,et al.Patient-reported outcomes correlate with functional scores after opening-wedge high tibial osteotomy:a clinical study[J].Int Orthop,2018,42(5):1067-1074.
[10] Amendola A,Bonasia DE.Results of high tibial osteotomy:review of the literature[J].Int Orthop,2010,34(2):155-160.
[11] 唐国能,黄粹业,蒋永益.关节镜下有限性清理术联合透明质酸钠注射液治疗膝骨性关节炎疗效及对患者生活质量的影响[J].陕西医学杂志,2019,48(2):201-204.
[12] 张海峰,王树平,梁 鹏,等.外侧闭合胫骨高位截骨桥接组合式内固定结合关节镜清理治疗膝内翻型膝骨性关节炎的临床研究[J].中华骨与关节外科杂志,2018,11(8):610-611.
[13] 王现海.关节镜加胫骨高位截骨钢板内固定治疗内翻性膝骨性关节炎[J].中华关节外科杂志,2016,10(5):557-561.
[14] Jung WH,Takeuchi R,Chun CW,et al.Second-look arthroscopic assessment of cartilage regeneration after medial opening-wedge high tibial osteotomy[J].Arthroscopy,2014,30(1):72-79.
[15] 李文新.关节镜联合胫骨高位截骨术治疗内翻型膝关节骨性关节炎的临床效果研究[J].中国现代医生,2017,55(29):64-66.
[16] 向先祥,周焱涛.关节镜下微骨折联合胫骨高位截骨治疗膝内侧关节炎疗效观察[J].实用骨科杂志,2018,24(1):71-74.
[17] Siboni R,Beaufils P,Boisrenoult P,et al.Opening-wedge high tibial osteotomy without bone grafting in severe varus osteoarthritic knee.Rate and risk factors of non-union in 41 case[J].Orthop Traumatol Surg Res,2018,104(4):473-476.
[18] Slevin O,Ayeni OR,Hinterwimmer S,et al.The role of bone void fillers in medial opening wedge high tibial osteotomy:a systematic review[J].Knee Surg Sports Traumatol Arthrosc,2016,24(11):3584-3598.
[19] Rolvien T,Barvencik F,Klatte TO,et al.β-TCP bone substitutes in tibial plateau depression fractures[J].Knee,2017,24(5):1138-1145.
[20] Nakamura R,Komatsu N,Fujita K,et al.Appropriate hinge position for prevention of unstable lateral hinge fracture in open wedge high tibial osteotomy[J].Bone Joint J,2017,99-B(10):1313-1318.
[21] Gomoll AH,Angele P,Condello V,et al.Load distribution in early osteoarthritis[J].Knee Surg Sports Traumatol Arthrose,2016,24(6):1815-1825.
[22] Wu L,Lin J,Jin Z,et al.Comparison of clinical and radiological outcomes between opening-wedge and closing-wedge high tibial osteotomy:a comprehensive meta-analysis [J].PLoS One,2017,12(2):e0171700.
[23] Zhao Y,Hu WJ,Huang JM,et al.Effectiveness of medial open wedge high tibial osteotomy combined with posterior slope angle of tibial plateau correction in treatment of osteoarthritis of limited flexion knee with varus deformity[J].Chinese Journal of Reparative and Reconstructive Surgery,2018,32(2):157-161.
[24] Howells NR,Salmon L,Waller A,et al.The outcome at ten years of lateral closing-wedge high tibial osteotomy:determinants of survival and functional outcome[J].Bone Joint J Br,2014,96(11):1491-1497.
[25] Duivenvoorden T,van Diggele P,Reijman M,et al.Adverse events and survival after closing-and opening-wedge high tibial osteotomy:a comparative study of 412 patients[J].Knee Surg Sports Traumatol Arthrosc,2017,25(3):895-901.
[26] Khoshbin A,Sheth U,Ogilvie-Harris D,et al.The effect of patient,provider and surgical factors on survivorship of high tibial osteotomy to total knee arthroplasty:a population-based study[J].Knee Surg Sports Traumatol Arthrosc,2017,25(3):887-894.
[27] 张 纪,杜 辉,黄 野,等.胫骨高位截骨术:闭合与开放楔形截骨对比[J].临床军医杂志,2016,44(2):128-132.
[28] 王兴山,黄 野.开放模形腔骨高位截骨术的研究进展[J].中华关节外科杂志:电子版,2016,10(5):525-552.
[29] Kuwashima U,Takeuchi R,Ishikawa H,et al.Comparison of torsional changes in the tibia following a lateral closed or medial open wedge high tibial osteotomy [J].Knee,2019,26(2):374-381.
[30] 郭马珑,崔宏勋,李 峰,等.单髁置换术治疗中重度膝关节单间室骨关节炎[J].中医正骨,2017,29(6):119-127.
[31] 唐华林,李玉军.单髁置换术与胫骨高位截骨术治疗膝骨性关节炎的效果对比分析[J].临床医药文献电子杂志,2017,4(77):15096-15097.
[32] 张占丰,王 丹,闵继康.单髁置换术后内侧间室关节线改变与股胫角及术后功能关系的研究[J].中国骨伤,2017,30(4):309-312.
[33] Santoso MB,Wu L.Unicompartmental keen arthroplasty,is it superior to high tibial osteotomy in treating unicompartmental osteoarthritis? A meta-analysis and systemic review[J].J Orthop Surg Res,2017,12(1):50.
[34] Han SB,Kyung HS,Seo IW,et al.Better clinical outcomes after unicompartmental knee arthroplasty when comparing with high tibial osteotomy[J].Medicine(Baltimore),2017,96(50):e9268.
[35] Han JH,Yang JH,Bhandare NN,et al.Total knee arthroplasty after failed high tibial osteotomy:a systematic review of open versus closed wedge osteotomy[J].Knee Surg Sports Traumatol Arthrosc,2016,24(8):2567-2577.
[36] Kazakos KJ,Chatzipapas C,Verettas D,et al.Mid-term results of total knee arthroplasty after high tibial osteotomy[J].Arch Orthop Trauma Surg,2008,128(2):167-173.

相似文献/References:

[1]唐国能,黄粹业,蒋永益.关节镜下有限性清理术联合透明质酸钠注射液治疗膝骨性关节炎疗效 及对患者生活质量的影响*[J].陕西医学杂志,2019,(2):201.
　TANG Guoneng,HUANG Cuiye,JIANG Yongyi..The effect of limited arthroscopic debridement combined with hyaluronic acid sodium injection in the treatment of patients with knee osteoarthritis and its impact on quality of life〖WT4”BZ〗[J].,2019,(9):201.
[2]王正强,董 博,姚 洁,等.基于弓弦力学理论指导下针刀治疗膝骨性关节炎作用机制研究*[J].陕西医学杂志,2019,(9):1247.
[3]杨天翔,张晋宁,张博文,等.单髁与全膝关节置换术治疗膝单间室骨性关节炎对患者围手术期凝血指标及失血量的影响[J].陕西医学杂志,2022,51(6):684.[doi:DOI:10.3969/j.issn.1000-7377.2022.06.010]
　YANG Tianxiang,ZHANG Jinning,ZHANG Bowen,et al.Effects of UKA and TKA on perioperative coagulation indexes and blood loss in patients with knee single compartment osteoarthritis[J].,2022,51(9):684.[doi:DOI:10.3969/j.issn.1000-7377.2022.06.010]
[4]罗江淼,如斯坦木,阿特尔,等.骨关节炎发病机制及治疗研究进展[J].陕西医学杂志,2024,(7):1006.[doi:DOI:10.3969/j.issn.1000-7377.2024.07.032]
　LUO Jiangmiao,Rustam A,A Teer,et al.Progress of pathogenesis and treatment progress of osteoarthritis[J].,2024,(9):1006.[doi:DOI:10.3969/j.issn.1000-7377.2024.07.032]
[5]杨天翔,王 怡,刘子歌,等.Ras同源基因家族成员A/Rho相关卷曲螺旋蛋白激酶信号转导通路在膝骨性关节炎软骨组织中的表达及意义[J].陕西医学杂志,2024,(12):1699.[doi:DOI:10.3969/j.issn.1000-7377.2024.12.023]
　YANG Tianxiang,WANG Yi,LIU Zige,et al.Expression and significance of RhoA/ROCK signal transduction pathway in cartilage tissue of knee osteoarthritis[J].,2024,(9):1699.[doi:DOI:10.3969/j.issn.1000-7377.2024.12.023]

备注/Memo

备注/Memo:
*国家自然科学基金资助项目(81760405,81760395,81560364)；宁夏回族自治区自然科学基金资助重点项目(2018AAC02013)；宁夏医科大学校级科研重点项目(XZ2018014)
更新日期/Last Update: 2020-09-02