摘要
膝骨关节炎是中老年人常见的一种退行性疾病。2018年制定的膝骨关节炎阶梯治疗专家共识,为膝骨关节炎提供了分期和对应的治疗方案。我们认为相对于可贯穿治疗全程的非手术治疗,手术治疗更具有阶段性特点。就此,我们提出膝骨关节炎的阶梯化手术治疗理念,根据对膝关节的解剖结构的保留程度,分4个阶梯,依次为膝关节镜手术、膝关节周围截骨术、部分膝关节置换术,全膝关节置换术。旨在实现治疗的个性化、精准化、微创化、智能化,尽量做降阶梯的手术。
Knee osteoarthritis is a common degenerative disease among middle and old aged people.The expert consensus on stepwise treatment of knee osteoarthritis was established in 2018,in which a staging system and matched therapeutic regimens have been provided.In our opinion,surgical treatment is more characteristic of steps compared with non-surgical treatment which can be throughout the process of management of knee osteoarthritis.So we put forward the concept of stepwise surgical treatment of knee osteoarthritis,which contains four steps(arthroscopic knee surgery,osteotomy around the knee,partial knee arthroplasty,and total knee arthroplasty)based on the extent of anatomy preservation in the knee,aiming to achieve individualization,precision,minimal invasiveness,and intellectualization during the management of knee osteoarthritis and try to perform the step-down surgery.
作者
关振鹏
Guan Zhenpeng(Orthopedics Department,Peking University Shougang Hospital,Beijing 100144,China)
出处
《中华临床医师杂志（电子版）》
CAS
北大核心
2022年第10期919-924,共6页
Chinese Journal of Clinicians(Electronic Edition)
关键词
膝骨关节炎
阶梯化
手术治疗
关节镜
截骨
关节置换
Knee osteoarthritis
Stepwise
Surgical treatment
Arthroscopy
Osteotomy
Arthroplasty
