高骨切除术与改善膝盖和脚对齐的情况有关,在中部部位关节炎中
Umut Oktem1, Muhammed Cihan Dastan1, Hanife Avci2
1Department of Orthopaedics and Traumatology, Ankara City Hospital, 06800 Ankara, Türkiye.
Journal of clinical medicine
|January 10, 2026
概括
中部开高骨切除术 (MOWHTO) 纠正膝盖对齐,并显著改善冠状平面上的脚对齐. 这种手术在患有膝关节关节炎和形变形的患者中显示出良好的临床结果.
科学领域:
- 整形外科 整形外科 整形外科
- 放射学 放射学是一门学科.
- 生物力学 生物力学
背景情况:
- 中间膝关节骨关节炎 (OA) 常常表现为形变形.
- 中部开高骨切除术 (MOWHTO) 是一种常见的手术治疗膝关节OA与形变形.
- MOWHTO对邻近的脚关节对齐的影响尚未完全理解.
研究的目的:
- 评估MOWHTO对脚关节的放射性和临床影响.
- 为了评估在MOWHTO之后脚对齐参数的变化.
- 为了将放射性变化与临床结果相关联.
主要方法:
- 对接受MOWHTO的110名患者的回顾性分析.
- 术前和术后一年的全身载重放射.
- 对关节-膝关节-脚角 (HKA),中位近角 (MPTA),关节直线收角 (JLCA),侧向远角 (LDTA) 和侧倾斜的放射评估.
- 使用Lysholm膝盖和AOFAS脚分数进行临床评估.
主要成果:
- 观察到MPTA,JLCA和tallar tilt的统计学显著改善,效果大小中等至大.
- 对于LDTA变化,观察到的小效果大小.
- 一年后高的Lysholm (90) 和AOFAS (100) 中位数表示良好的临床结果.
- 根据纠正金额,结果没有显著差异.
结论:
- MOWHTO有效地恢复了膝盖的对齐.
- MOWHTO显著改善了冠状平面上的脚对齐.
- 该程序与膝盖和脚功能的良好的临床结果有关.
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