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肢体对齐校正对负荷条件下的中间半径挤出在高骨骨切除术中的影响

Yosuke Ishii¹, Masakazu Ishikawa², Goki Kamei³

¹Dept. of Biomechanics, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology

|September 13, 2023

概括

高骨切除术 (HTO) 在承重条件下降低了中介阴茎挤出 (MME). 在MME中术后的变化与肢体对齐的改善相关,导致更好的膝盖功能和疼痛缓解.

科学领域:

整形外科手术整形外科手术
生物力学生物力学
医学成像医学成像

背景情况:

膝关节骨关节炎 (OA) 通常涉及中枢变性.
中间阴茎挤出 (MME) 是OA进展的放射性指标.
高骨切除术 (HTO) 是一种手术程序,用于纠正OA患者的膝盖对齐.

研究的目的:

在承重条件下研究HTO对MME的影响.
探索HTO后肢体对齐变化和MME之间的关联.
评估HTO后的临床结果.

主要方法:

评估了接受HTO的17名OA患者.
通过超声波测量MME (卧底和WB位置).
用WB放射图 (HKAA,%MA,MPTA,JLCA) 评估的膝盖对齐情况.
在手术前和手术后的3,6,12个月进行序列测量.
使用KOOS和VAS评估的临床结果.

主要成果:

手术前的WB MME高于卧底的MME.
手术后的MME (两种位置) 显著下降.
卧卧和腰部位置之间的MME差异 (ΔMME) 在术后显著减少.
手术后的MME变化与HKAA和%MA的变化相关.
在KOOS和VAS分数显著提高.

结论:

HTO有效地减少了WB MME,并最大限度地降低了卧式-WB MME差异.
手术后的MME变化与HTO后改善的机械对齐有关.
HTO证明了对OA患者的膝盖对齐,MME和临床结果的积极影响.

关键词:

在高骨骨切除术中.膝盖的对齐是膝盖的对齐.中间阴茎外挤压.超声波学超声波学超声波学

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