保膝治疗之胫骨的高位截骨术.pptVIP

保膝治疗之胫骨高位截骨术 Valadon onry. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  o膝关节骨关节炎X片分级( Classification) 级:正 o级:关节间隙可疑变窄,可能有骨赘 ol级:有明显的骨赘,关节间隙轻度变窄 oⅢ级:中等量骨赘,关节间隙变窄较明确,软骨下骨骨质轻度硬化改 变,范围较小; oⅣ级:大量骨赘形成,可波及软骨面,关节间隙明显变窄,硬化改变 极为明显,关节阳大是明导畸彩 正矮关节 骨性关节炎破坏的关节 对于膝关节骨关节炎患者,除了膝关节置换术,能 否选择其他?保膝治疗可否?胫骨高位截骨术? Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  膝关节骨关节炎手术治疗方案 膝关节置换术( Total Knee Arthroplasty,TKA):置换整个关节面 隱盐使拜萍碧笑经毫消肯定适用于整个关 o单髁置换术( Uincomparmental Knee Arthropla UKA):只置 閃裰發聂确罚矫廷絹擘翻内颚露」 的韧带,缓 腓骨截骨术( Fibula og FO):通过腓骨截骨改变胫骨平 詈;伯智醑髡霉逛侯李經繼钙爨菱 胫骨高位截骨术( High Tibial Osteotomy.,HTo):通过胫骨高位截骨 正了醵玉岛惠关南统 越来越受骨 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  概述 o胫骨高位截骨术( High tibia osteotomy,HTo)1958年首先由 JJacksn报 道;直到1965年 Coventry开始倡导并推广,认为HTo可以缓解关节疼痛, 并将此术式称之为安全有效的治疗措施。 o目的:通过胫骨近端截骨,将力线从磨损的内侧间室转移至相对正常 的外侧间室,延缓內侧间室的破坏,延长膝关节的使用寿命,推后或 避免行 Tibial Osteotomy for ostcoarthritis of the knee varus) kneejoint re deformity. When there is disabling af the ictin deformity by osteotomy is a logical procedure. relieves the concentrated in the medial or lateral compart- and 4 The average age was xcept one (wh osteotomy through the upper tibia is mended (the fibul Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  Osteotomy of the Upper Portion of the Tibia for Degenerative Arthritis of the Knee Br DAHk B. CoYETRY, AD Froi tke Selian af Ortkope ic Surgerv, Japo Canie and 1a yo fouxddMn, ioxheser 邮等采用骨外侧合 hodies, large osteophytes menisci, is accasionally used. Arthr patients with degenerative arthritis of the knee