Treatmeat of Knee Osteoarthritis by High Tibial Osteotomy Combined with Arthriscopic Debridement_West China Medical Journal

Authors：

Department of Orthopedics,Qingxian People’s Hospital,Cangzhou Hebai 062650,China;

Corresponding author：

Keywords：

关节镜; 有限清理; 截骨术; 骨关节炎; 骨圆针

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目的:探讨一种适于中老年膝关节骨性关节炎的操作简单、经济、实用性强、效果可靠的治疗方法。方法:我院自2002年1月至2006年6月采用膝关节镜下行关节内有限清理结合胫骨高位楔形截骨矫形,骨圆针张力带钢丝固定治疗合并有膝内翻畸形的中老年膝关节骨性关节炎48例。结果:全部病例得到随访11~50个月,平均34个月。据窦宝信标准进行综合评价:优37例,良7例,中4例,优良率91.7％(44/48)。结论:关节镜下关节清理结合胫骨高位截骨、骨圆针张力带钢丝固定治疗中老年膝关节骨性关节炎是一种值得在基层医疗单位推广的治疗方法

Citation： YANG Xueqiao,HAN Huanchang,LIU Huixin,et alM. Treatmeat of Knee Osteoarthritis by High Tibial Osteotomy Combined with Arthriscopic Debridement. West China Medical Journal, 2009, 24(3): 600-605. doi: Copy

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9.	J.MACK ALDRIDGE Ⅲ MD,et al.Vascularized Fibular Grafting for Osteonecrosis of the Femoral Head With Unusual Indications[J].Clin Orthop Relat Res,2008,(466):1117-1124..
10.	钟刚,裴福兴.非关节置换术治疗股骨头缺血坏死的循证医学评价[J].中国矫形外科杂志,2002,10(11):1069-1071..
11.	MYLLYNEN P,KONTULA K,et al.Aseptic necrosis of the femoral head during pregnancy[J].Obstetrics And Cynecology,1988,71(3):495-8..
12.	于红,王若薇,侯树勋.妊娠期骨关节病[J].中华妇产科杂志,1999,34(3):187-189..
13.	崔晓琳,程敬亮,石士奎,等.MRI对股骨头缺血坏死诊断价值的探讨[J].中原医刊,2006,33(9):31-33..
14.	马宗黎,王健忠,等.STIR技术在诊断早期股骨头缺血性坏死中的临床应用[J].成都军区医院学报,2001,3(3):14-15..

1.
2.
3. STEINBERG ME,BRIGHTON CT.Osteonecrosis of the Femoral Head.Results of Core Decompression and Grafting with and without Electrical Stimulation[J].Clin Orthop,1989,249:199-208..
4. SARAH STEIBFURNO, et al. Pregnancyrelated hip diseases:Incidence and diagnoses[J].Joint Bone Spine,2007(74):373-378..
5. ERIC VANDENBUSSCHE,et al.Bilateral osteonecrosis of the femoral head after pregnancy.Arch Orthop Trauma Surg 2005(125):201-203..
6. 石伟,金帅星.与妊娠相关的股骨头坏死[J].中国矫形外科杂志,2000,7(4):392..
7. MONTELLA BJ,NUNLEY JA,et al.Osteonecrosis of the Femoral Head Associated with Pregnancy[J].J Bone Joint(AM),1999,81(6):790-798..
8. MITCHELL DG,KRESSEL H,et al.Femoral head avascular necrosis:morphologic assessment by MR imaging with CT correlation[J].Radiology,1986,(161):739-742..
9. J.MACK ALDRIDGE Ⅲ MD,et al.Vascularized Fibular Grafting for Osteonecrosis of the Femoral Head With Unusual Indications[J].Clin Orthop Relat Res,2008,(466):1117-1124..
10. 钟刚,裴福兴.非关节置换术治疗股骨头缺血坏死的循证医学评价[J].中国矫形外科杂志,2002,10(11):1069-1071..
11. MYLLYNEN P,KONTULA K,et al.Aseptic necrosis of the femoral head during pregnancy[J].Obstetrics And Cynecology,1988,71(3):495-8..
12. 于红,王若薇,侯树勋.妊娠期骨关节病[J].中华妇产科杂志,1999,34(3):187-189..
13. 崔晓琳,程敬亮,石士奎,等.MRI对股骨头缺血坏死诊断价值的探讨[J].中原医刊,2006,33(9):31-33..
14. 马宗黎,王健忠,等.STIR技术在诊断早期股骨头缺血性坏死中的临床应用[J].成都军区医院学报,2001,3(3):14-15..

West China Medical Journal

Treatmeat of Knee Osteoarthritis by High Tibial Osteotomy Combined with Arthriscopic Debridement

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