摘要
胫骨高位截骨术作为治疗内翻膝关节单间室骨关节炎的一种选择,目的是缓解疼痛、改善功能、延缓膝关节置换,并保留患者高水平的活动。截骨术获得成功的关键首先是严格地选择患者、全面的病史和体格检查、精确的术前计划,同时需要有熟练的手术技术作为保障,使用适当的固定技术和康复治疗方案有助于获得长期的良好结果。本文对胫骨高位截骨术的适应证、患者选择、术前计划、手术技术、固定方法、并发症和临床疗效等方面进行综述。
High tibial osteotomy is an option for the treatment of unilateral osteoarthritis of the knee joint in order to relieve pain,improve function,delay knee replacement and preserve high levels of activity in patients.The key to the success of osteotomy is to select patients strictly,comprehensive medical history and physical examination,precise preoperative planning,at the same time,skilled surgical techniques are required as a guarantee.The use of appropriate fixation techniques and rehabilitation treatment schedule can help to achieve long-term good results.This article reviews the indications for high tibial osteotomy,patient selection,preoperative planning,surgical techniques,fixation methods,complications and clinical outcomes.
作者
张杭
何森
ZHANG Hang;HE Sen(Department of Orthopaedics,Tianjin Beichen Hospital,Tianjin 300400,China)
出处
《天津医药》
CAS
北大核心
2019年第3期322-328,共7页
Tianjin Medical Journal
关键词
骨关节炎
膝
关节成形术
置换
胫骨
截骨
osteoarthritis,knee
arthroplasty
replacement
tibial
osteotomy
