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头骨的释放是否会影响中部开高骨切除术的结果?

Ali Said Nazlıgül¹, Umut Öktem², Osman Tecimel³

¹Sincan Training and Research Hospital, Ankara, Turkey. alisaid012@hotmail.com.

International orthopaedics

|July 17, 2025

概括

在膝关节骨关节炎的中部开高骨切除术 (MOWHTO) 期间保存pes anserinus可能会改善早期的骨愈合和功能恢复. 常规的pes anserinus释放可能是不必要的,提供潜在的临床益处.

科学领域:

整形外科手术整形外科手术
膝盖生物力学膝盖生物力学
骨关节炎治疗方法骨关节炎治疗方法

背景情况:

中部开高骨切除术 (MOWHTO) 是中部隔间膝关节骨关节炎的关键手术.
在MOWHTO期间,pes anserinus管理的作用仍然存在争议,影响手术技术和患者的结果.

研究的目的:

评估 pes anserinus 释放与非释放对放射治疗,对齐校正和MOWHTO后功能结果的影响.
为了确定保存 pes anserinus是否会影响MOWHTO在治疗膝关节关节炎的疗效.

主要方法:

对73名接受MOWHTO与锁定板固定的患者进行了回顾性队列研究.
患者被分为两组: pes anserinus 释放 (n=35) 和非释放 (n=38).
评估了功能性结局 (KOOS),放射性对齐 (HKA,mMPTA,部斜率) 和骨结合的时间.

主要成果:

不释放组的骨结合时间显著提前 (中位数为4.0个月与5.0个月,p=0.019).
两组之间实现的对齐校正 (HKA,mMPTA,部斜率) 没有发现显著差异.
虽然非释放组在6个月后显示出更高的KOOS分数,但在12个月后功能结果是可比的;没有出现重大并发症或非结合.

结论:

在MOWHTO期间保存pes anserinus不会影响X射线对齐校正.
保存Pes anserinus可能会促进早期的骨愈合和在早期的术后阶段的功能恢复.
常规的pes anserinus释放可能不需要,这表明保存有潜在的好处.

关键词:

功能性结果的结果.在高骨骨切除术中.膝关节骨关节炎是一种关节炎.佩斯·安塞里努斯 (Pes Anserinus) 是一个

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