[Analysis of the efficacy of high tibial osteotomy combined with medial meniscus centralization in knee osteoarthritis].
Zhongguo Gu Shang
; 37(2): 173-8, 2024 Feb 25.
Article
de Zh
| MEDLINE
| ID: mdl-38425069
ABSTRACT
OBJECTIVE:
To explore the efficacy of high tibial osteotomy ï¼HTOï¼ combined with medial meniscus centralization in knee osteoarthritis.METHODS:
A total of 26 patients who underwent surgery from October 2018 to October 2020 were reviewed. Among them, 14 patients underwent high tibial osteotomy combined with arthroscopic meniscus centralization surgery were centralized group, including 8 males and 6 females, with an average age of ï¼50.2±1.4ï¼ years old and follow-up time of ï¼16.8±4.0ï¼ months. Twelve patients with high tibial osteotomy were in the control group, including 6 males and 6 females, with an average age of ï¼50.9±1.8ï¼ years and follow-up time of ï¼19.0±4.8ï¼ months. Operation time, the knee Lysholm score, knee 2000 IKDC score, MRI, femoral tibial angleï¼FTAï¼, hip knee ankle angle ï¼HKAï¼, and intraoperative and postoperative complications were recorded.RESULTS:
All the incisions healed without any complication. The operation time in the centralized group was longer than that in the control group[ï¼65.0±2.1ï¼min vsï¼52.0±2.1ï¼min, P<0.05]. The medial meniscus extrusion reduction value in the centralized group was significantly reduced compared with the control group[ï¼2.8±1.4ï¼ mm vs ï¼1.1±2.2ï¼ mm, P<0.05]. The FTA, HKA, knee Lyshlom score, and 2000 IKDC score between two groups were no significantly ï¼P>0.05ï¼. Postoperative knee Lyshlom score and knee 2000 IKDC score improved in both groupsï¼P<0.05ï¼.CONCLUSION:
HTO combined with centralization of medial meniscus can improve the reduction of medial meniscus and improve knee function. The medium and long-term curative effect still needs long-term follow-up of more cases.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Gonarthrose
Limites:
Female
/
Humans
/
Male
/
Middle aged
Langue:
Zh
Journal:
Zhongguo Gu Shang
Sujet du journal:
ORTOPEDIA
/
TRAUMATOLOGIA
Année:
2024
Type de document:
Article
Pays d'affiliation:
Chine