Analysis of the efficacy of high tibial osteotomy combined with medial meniscus centralization in knee osteoarthritis
10.12200/j.issn.1003-0034.20220491
- VernacularTitle:胫骨高位截骨联合内侧半月板中央化治疗膝骨关节炎
- Author:
Li-Ming ZHU
1
;
Jie GUAN
;
Yi-Min CHEN
;
Hai-Tao MA
;
Jia-Kuan YE
Author Information
1. 杭州市萧山区第一人民医院骨科运动医学中心,浙江 杭州 311201
- Keywords:
High tibial osteotomy;
Meniscus extrusion;
Meniscus centralization;
Knee osteoarthritis;
Knee preservation
- From:
China Journal of Orthopaedics and Traumatology
2024;37(2):173-178
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy of high tibial osteotomy(HTO)combined with medial meniscus centraliza-tion in knee osteoarthritis.Methods A total of 26 patients who underwent surgery from October 2018 to October 2020 were re-viewed.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(50.2±1.4)years old and follow-up time of(16.8±4.0)months.Twelve patients with high tibial osteotomy were in the control group,including 6 males and 6 females,with an average age of(50.9±1.8)years and follow-up time of(19.0±4.8)months.Operation time,the knee Lysholm score,knee 2000 IKDC score,MRI,femoral tibial angle(FTA),hip knee ankle angle(HKA),and intraoperative and postoperative compli-cations 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[(65.0±2.1)min vs(52.0±2.1)min,P＜0.05].The medial meniscus extrusion reduction value in the centralized group was significantly reduced compared with the control group[(2.8±1.4)mm vs(1.1±2.2)mm,P＜0.05].The FTA,HKA,knee Lyshlom score,and 2000 IKDC score between two groups were no significantly(P＞0.05).Postop-erative knee Lyshlom score and knee 2000 IKDC score improved in both groups(P＜0.05).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.
