轻度无症状的侧侧关节骨关节炎不会影响中部开口高骨切除术后的结果
Dries Van Leemput1, Jens Vanlommel1, Nathalie Van Beek1
1Department of Orthopedic Surgery, AZ Herentals, Herentals, Belgium.
概括
高骨切除术 (HTO) 有效地治疗中枢膝关节骨关节炎,即使是轻微的侧侧骨关节炎. 患者在手术后2年经历了显著的疼痛缓解和功能改善,无论侧面OA的严重程度如何.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 放射学 放射学是一门学科.
背景情况:
- 高骨切除术 (HTO) 是中枢膝关节骨关节炎 (OA) 的标准治疗方法.
- 侧腔隔间OA传统上是一种对HTO的禁忌.
- 最近的证据表明,轻度侧面OA可能不会排除HTO.
研究的目的:
- 评估HTO在患有轻度至中度无症状侧膝关节OA的患者的安全性和有效性.
- 为了确定HTO是否在这个患者群体中提供疼痛缓解和功能改善.
- 测试该假设,即HTO是有益的,尽管轻微的侧面OA.
主要方法:
- 对132名接受HTO (2017-2020) 的患者进行了回顾性观察性研究.
- 纳入标准:两年后续调查问卷,手术前MRI或SPECT-CT.
- 使用KOOS-PS和NRS疼痛评分评估结果;横向OA通过X光,MRI和SPECT-CT进行分级.
主要成果:
- 包括132名患者 (95名男性,38名女性;平均年龄56岁).
- 在HTO后2年,在患有轻度/中度横向OA的患者中观察到疼痛和功能显著改善.
- 侧面骨质炎不同程度之间没有显著的结果差异;较大的骨质细胞预测了更糟糕的结果.
结论:
- 轻度无症状横向性淋巴结裂并不是HTO的禁忌.
- 2年后,HTO表现出可比的疼痛缓解和功能结果,不管侧面的轻度至中度的OA.
- 需要进一步的长期研究来验证这些发现.
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