打开高骨切除术对脊柱对齐的影响
Tetsuro Shimada1, Akira Maeyama1, Tetsuro Ishimatsu1
1Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, Fukuoka, JPN.
Cureus
|September 2, 2025
概括
开启高骨切除术 (OWHTO) 改善膝关节对齐,并对腰对齐产生积极影响,减少骨盆倾斜和骨盆发病率与腰 lordosis 的不匹配. 这种手术对下肢和脊柱的平衡都有好处.
科学领域:
- 整形医学
- 生物力学
- 放射学
背景情况:
- 膝盖曲缩与前方的骨干姿势和骨盆逆转有关,可能会恶化膝盖症状.
- 膝关节和脊柱对齐之间存在双向关系,需要对膝关节关节炎的手术进行研究.
研究的目的:
- 评估开高骨切除术 (OWHTO) 对中部膝关节骨关节炎患者的脊椎骨对齐的影响.
主要方法:
- 对34名因膝关节骨关节炎而接受OWHTO的患者进行了回顾性分析.
- 在手术前和手术后一年,对下肢对齐 (机械轴,mMPTA,mLDFA,JLCA,PTS) 和脊骨参数 (骨盆倾斜,斜骨倾斜,骨盆发生率,胸部,腰部,PI-LL不匹配) 的放射性评估.
- 使用膝关节损伤和骨关节炎结局评分 (KOOS) 评估临床结果.
主要成果:
- OWHTO显著降低了骨盆倾斜率 (p = 0. 003) 和骨盆发生率与腰部位的不匹配 (p = 0. 044),这表明骨盆斜腰对齐有所改善.
- 在手术后的脊骨调整变化和KOOS得分之间没有显著的相关性.
结论:
- OWHTO有效地纠正下肢对齐,并对腰骨对齐产生积极影响,特别是减少骨盆倾斜和PI-LL不匹配.
- 在膝关节调整后,下肢负荷分布的改善可能有助于改善腰腹部调整.
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