胫骨高位截骨术在老年退变性膝骨关节炎的应用

Application of high tibial osteotomy in aged degenerative knee osteoarthritis

随着老龄化进展,老年退变性膝骨关节炎越来越多,近年来,随着"保膝"理念的发展,胫骨高位截骨治疗老年退变性膝骨关节炎得到国内、外专家的认可,并得到了快速发展。胫骨高位截骨术是通过转变负重点,纠正下肢力线,使膝关节负重载荷从退变的内侧间室转向相对正常的外侧间室,从而延缓膝关节炎的进展,并促进内侧间室软骨修复,改善膝关节疼痛等症状,逐渐恢复关节活动及功能。早期的胫骨高位截骨术用于相对年轻的患者,但随着老龄化的进展及研究的深入,胫骨高位截骨用于老年退变性膝骨关节炎治疗的研究越来越多,本文对目前胫骨高位截骨术治疗老年退变性膝骨关节炎进行综述。

With the development of aging,degenerative knee osteoarthritis in the elderly is becoming more and more common.In recent years,with the development of the concept of"knee preservation surgery",high tibial osteotomy for treating degenerative knee osteoarthritis in the elderly has been well-accepted by domestic and foreign experts and has achieved rapid development.High Tibial osteotomy is to transfer the weight-bearing point and weight-bearing loads to the relatively unaffected lateral compartment in varus knees,realign the lower limb line,so as to delay the need for knee replacement by slowing or stopping destruction of the medial joint compartment,and promote the repair of medial compartment cartilage,improve knee joint pain and other symptoms,then gradually restore joint activity and function.Early high tibial osteotomy was used in relatively young elderly patients,but with the development of aging and the research,more and more studies on treatment of elderly degenerative knee osteoarthritis with high tibial osteotomy.This article reviewed how to use high tibial osteotomy to treat of elderly degenerative knee osteoarthritis.