高骨切除术改善了膝关节骨关节炎和形变形患者的平衡控制
Zheng Zhang1, Hai Tao2, Yingchun Zhao2
1Department of Orthopedics, Renmin Hospital of Wuhan University, 238, Jiefang Road, Wuchang District, Wuhan, 430060, Hubei, China. zhangzheng_fr@126.com.
Journal of orthopaedic surgery and research
|July 28, 2023
概括
高骨切除 (HTO) 手术改善了膝关节骨关节炎患者的平衡控制. 手术后对平衡和功能的改善导致正常的姿势稳定,有助于恢复.
科学领域:
- 整形外科 整形外科 整形外科
- 生物力学 生物力学
- 膝关节骨关节炎研究研究
背景情况:
- 膝关节骨关节炎 (OA) 随着状位不整,往往导致膝关节稳定性受损.
- 高骨切除术 (HTO) 是膝关节形变形的常见治疗方法,但其对OA患者平衡的长期影响尚未得到充分证实.
研究的目的:
- 为了评估HTO对中部部位膝关节OA和形变形的患者平衡控制的影响.
- 评估HTO在平衡方面的生物和功能意义.
主要方法:
- 在接受HTO的32名患者 (手术前1个月,手术后3个月和手术后1年) 进行了静态后泌尿测试.
- 为了进行比较,包括了40名匹配的对照对象.
- 术前和术后进行了放射和临床评估.
主要成果:
- 患者在HTO后一年表现出姿势摆动的减少,与对照组相比没有显著差异.
- 在手术前和手术后三个月,患者表现出比对照组更大的姿势摆动.
- 在HTO后观察到膝盖对齐和关节功能显著改善.
结论:
- 在膝关节OA患者中,HTO有效地提高了平衡控制,这些患者患有形变形.
- 恢复膝盖对齐和改善关节功能有助于实现正常的姿势稳定.
- HTO使膝关节能够恢复其在姿势调节中的作用,使其成为膝关节OA的有价值的管理选择.
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