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保留关节的骨关节炎手术治疗(国外英语资料)
保留关节的骨关节炎手术治疗(国外英语资料)
Surgical treatment of osteoarthritis of the joint
2011-01-16 Xu Weidong, Zhang Chuncai, Wu Yuesong
Late feasible joint replacement for osteoarthritis. Prior to that, surgery that retained joints, reduced pain, improved functioning, and slowed osteoarthritis had obvious advantages. These methods include osteotomy, muscle release, joint debridement, subchondral bone drilling, periosteum, cartilage membrane, bone graft, and cell and growth factor transplantation.
1 muscle relaxation and osteotomy
Changing the load of the bone and joint can relieve symptoms and promote the formation of new joint surfaces. The act of reducing the joint force by contracting the muscles of the joint. Radin et al. (1) reviewed 53 patients with degenerative hip osteoarthritis who underwent muscle relaxation. Of these, 48 had pain relief, 38 had improved function, and 44 had improved gait. In most patients, there was no increase in joint space in radiographic findings, and there was no change in the shape of the hip before surgery and no increase in subchondral density. Other authors have reported similar results. But in fact, the clinical practice of this operation is rare. It is considered that the efficacy is not as good as the other methods, and extensive muscle relaxation reduces the muscle strength. If the operation is invalid, it brings difficulty to the replacement of joint.
Osteotomy can redistribute static and dynamic loads on the joint surface. Osteotomy can alter the force line of the articular surface, separating the already formed articular surface, or forming a new articular cartilage surface with exposed bone, which presents an increase in joint space. In a group of 757 (2) osteotomy for hip osteoarthritis, 204 hip joints showed an increase in joint space, and the other 200 hips appeared in the next 8 months. Whats more, their functions have improved markedly. This suggests that during this time, new cartilage forms in some areas of the joint surface, wh
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