摘要
胫骨高位截骨术(HTO)是治疗膝关节骨关节炎有效的手术方式之一,它主要通过改变下肢力线,将应力转移至外侧间室,从而降低内侧间室压力,缓解膝关节疼痛不适,保留膝关节原有结构,临床疗效肯定。本文综述了HTO手术适应证、禁忌证、矫形机制、手术技术、固定方式以及术后康复和生存率的研究进展。
High tibial osteotomy(HTO) is one of the effective surgical options for knee osteoarthritis. It mainly transfers stress to the lateral compartment by changing the force line of the lower limbs, thus reducing the pressure of the medial compartment, alleviating pain and discomfort of the knee joint, and retaining the original structure of the knee joint. Its clinical efficacy is ascertained. This article reviewed the research progress of HTO in the respects of indications, contraindications, orthopedic mechanism, surgical techniques, fixation methods, post-operative rehabilitation, and survival rate.
作者
周羿辰
孙长英
ZHOU Yi-Chen;SUN Chang-Ying(Department of Orthopaedics, Heping Hospital Affiliated to Changzhi Medical College, Changzhi 046000, China)
出处
《中华老年多器官疾病杂志》
2019年第5期394-397,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
骨关节炎
膝内翻
膝关节
截骨术
osteoarthritis
genu varum
knee joint
osteotomy
