• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

单光子发射计算机断层扫描/计算机断层扫描对开放性楔形高位胫骨截骨术后骨室变化的评估

The SPECT/CT Evaluation of Compartmental Changes after Open Wedge High Tibial Osteotomy.

作者信息

Kim Tae Won, Kim Byung Kag, Kim Dong Whan, Sim Jae Ang, Lee Beom Koo, Lee Yong Seuk

机构信息

Department of Orthopedic Surgery, Gacheon University Gil Medical Center, Incheon, Korea.

Department of Orthopedic Surgery, The Armed Forces Capital Hospital, Seongnam, Korea.

出版信息

Knee Surg Relat Res. 2016 Dec 1;28(4):263-269. doi: 10.5792/ksrr.15.051.

DOI:10.5792/ksrr.15.051
PMID:27894172
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5134792/
Abstract

PURPOSE

The purpose of this study was to evaluate compartmental changes using combined single-photon emission computerized tomography and conventional computerized tomography (SPECT/CT) after open wedge high tibial osteotomy (OWHTO) for providing clinical guidance for proper correction.

MATERIALS AND METHODS

Analysis was performed using SPECT/CT from around 1 year after surgery on 22 patients who underwent OWHTO. Postoperative mechanical axis was measured and classified into 3 groups: group I (varus), group II (0°-3° valgus), and group III (>3° valgus). Patella location was evaluated using Blackburne-Peel (BP) ratio. On SPECT/CT, the knee joint was divided into medial, lateral, and patellofemoral compartments and the brighter signal was marked as a positive signal.

RESULTS

Increased signal activity in the medial compartment was observed in 12 cases. No correlation was observed between postoperative mechanical axis and medial signal increase. Lateral increased signal activity was observed in 3 cases, and as valgus degree increased, lateral compartment's signal activity increased. Increased signal activity of the patellofemoral joint was observed in 7 cases, and significant correlation was observed between changes in BP ratio and increased signal activity.

CONCLUSIONS

For the treatment of medial osteoarthritis, OWHTO requires overcorrection that does not exceed 3 valgus. In addition, the possibility of a patellofemoral joint problem after OWHTO should be kept in mind.

摘要

目的

本研究旨在评估开放性楔形高位胫骨截骨术（OWHTO）后使用单光子发射计算机断层扫描与传统计算机断层扫描相结合（SPECT/CT）的关节间室变化，为适当的矫正提供临床指导。

材料与方法

对22例行OWHTO的患者术后约1年的SPECT/CT图像进行分析。测量术后机械轴并分为3组：I组（内翻）、II组（0°-3°外翻）和III组（>3°外翻）。使用布莱克本-皮尔（BP）比率评估髌骨位置。在SPECT/CT上，将膝关节分为内侧、外侧和髌股关节间室，信号增强处标记为阳性信号。

结果

12例患者内侧间室信号活性增加。术后机械轴与内侧信号增加之间未观察到相关性；3例患者外侧信号活性增加，且随着外翻角度增加，外侧间室信号活性增加；7例患者髌股关节信号活性增加，且BP比率变化与信号活性增加之间存在显著相关性。

结论

对于内侧骨关节炎的治疗，OWHTO需要进行不超过3°外翻的过度矫正。此外，应牢记OWHTO后髌股关节出现问题的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/a0d685604761/ksrr-28-263f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/70569331810e/ksrr-28-263f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/31292a1cac18/ksrr-28-263f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/1bb957c08f88/ksrr-28-263f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/8d67da2bb604/ksrr-28-263f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/a0d685604761/ksrr-28-263f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/70569331810e/ksrr-28-263f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/31292a1cac18/ksrr-28-263f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/1bb957c08f88/ksrr-28-263f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/8d67da2bb604/ksrr-28-263f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cff0/5134792/a0d685604761/ksrr-28-263f5.jpg

相似文献

1
The SPECT/CT Evaluation of Compartmental Changes after Open Wedge High Tibial Osteotomy.单光子发射计算机断层扫描/计算机断层扫描对开放性楔形高位胫骨截骨术后骨室变化的评估
Knee Surg Relat Res. 2016 Dec 1;28(4):263-269. doi: 10.5792/ksrr.15.051.
2
Alignment changes after open-wedge high tibial osteotomy result in offloading in the patellofemoral joint: a SPECT/CT analysis.开放性楔形高位胫骨截骨术后的对线改变导致髌股关节负荷减轻：一项SPECT/CT分析
Knee Surg Sports Traumatol Arthrosc. 2022 Feb;30(2):437-446. doi: 10.1007/s00167-020-06115-0. Epub 2020 Jun 23.
3
Patellofemoral Cartilage Degeneration After Closed- and Open-Wedge High Tibial Osteotomy With Large Alignment Correction.闭楔形和开放楔形胫骨高位截骨术治疗伴有大角度对线不良的髌股关节软骨退变。
Am J Sports Med. 2020 Sep;48(11):2718-2725. doi: 10.1177/0363546520943872. Epub 2020 Aug 7.
4
Hybrid closed wedge high tibial osteotomy improves patellofemoral joint congruity compared with open wedge high tibial osteotomy.与开放式楔形胫骨高位截骨术相比，混合式闭合楔形胫骨高位截骨术可改善髌股关节吻合度。
Knee Surg Sports Traumatol Arthrosc. 2019 Apr;27(4):1299-1309. doi: 10.1007/s00167-019-05350-4. Epub 2019 Jan 21.
5
Increased preoperative medial and lateral laxity is a predictor of overcorrection in open wedge high tibial osteotomy.术前内侧和外侧松弛度增加是开放式楔形胫骨高位截骨术过度矫正的预测因素。
Knee Surg Sports Traumatol Arthrosc. 2020 Oct;28(10):3164-3172. doi: 10.1007/s00167-019-05805-8. Epub 2019 Nov 28.
6
Association of Preoperative Tibial Varus Deformity With Joint Line Orientation and Clinical Outcome After Open-Wedge High Tibial Osteotomy for Medial Compartment Osteoarthritis: A Propensity Score-Matched Analysis.术前胫骨内翻畸形与内侧间室骨关节炎开放性楔形高位胫骨截骨术后关节线方向及临床结局的相关性：一项倾向评分匹配分析
Am J Sports Med. 2021 Nov;49(13):3551-3560. doi: 10.1177/03635465211044146. Epub 2021 Oct 8.
7
Changes in the Contact Stress Distribution Pattern of the Patellofemoral Joint After Medial Open-Wedge High Tibial Osteotomy: An Evaluation Using Computed Tomography Osteoabsorptiometry.内侧开放楔形高位胫骨截骨术后髌股关节接触应力分布模式的变化：基于计算机断层扫描骨吸收测量法的评估
Orthop J Sports Med. 2021 Apr 21;9(4):2325967121998050. doi: 10.1177/2325967121998050. eCollection 2021 Apr.
8
Offloading effect in the unoperated contralateral knee after unilateral medial open wedge high tibial osteotomy: A SPECT/CT analysis.单侧内侧开放楔形高位胫骨截骨术后未手术对侧膝关节的负荷减轻效应：一项SPECT/CT分析
Knee. 2024 Dec;51:58-64. doi: 10.1016/j.knee.2024.08.009. Epub 2024 Sep 5.
9
Are There Harmful Effects of Preoperative Mild Lateral or Patellofemoral Degeneration on the Outcomes of Open Wedge High Tibial Osteotomy for Medial Compartmental Osteoarthritis?术前轻度外侧或髌股关节退变对内侧间室骨关节炎行开放性楔形高位胫骨截骨术的疗效是否有不良影响？
Orthop J Sports Med. 2020 Jun 23;8(6):2325967120927481. doi: 10.1177/2325967120927481. eCollection 2020 Jun.
10
Salvage of severe knee osteoarthritis: efficacy of tibial condylar valgus osteotomy versus open wedge high tibial osteotomy.严重膝关节骨关节炎的挽救治疗：胫骨髁间嵴外翻截骨术与开放楔形胫骨高位截骨术的疗效比较。
J Orthop Surg Res. 2021 Jul 14;16(1):451. doi: 10.1186/s13018-021-02597-x.

引用本文的文献

1
Single-Joint Type Hybrid Assistive Limb for Knee Training in the Acute Postoperative Phase After Opening Wedge High Tibial Osteotomy: A Feasibility and Safety Trial.用于高位胫骨开放楔形截骨术后急性期膝关节训练的单关节型混合辅助肢体：一项可行性和安全性试验
Cureus. 2024 May 11;16(5):e60122. doi: 10.7759/cureus.60122. eCollection 2024 May.
2
Serial Quantitative Assessment of Load Redistribution After Medial Open-Wedge High Tibial Osteotomy.内侧开放楔形高位胫骨截骨术后负荷再分布的系列定量评估
Orthop J Sports Med. 2023 Apr 20;11(4):23259671231156188. doi: 10.1177/23259671231156188. eCollection 2023 Apr.
3
Clinical Usefulness of SPECT/CT for Assessing Postoperative Outcomes After Medial Opening-Wedge High Tibial Osteotomy.

本文引用的文献

1
Open-Wedge High Tibial Osteotomy and Combined Abrasion/Microfracture in Severe Medial Osteoarthritis and Varus Malalignment: 5-Year Results and Arthroscopic Findings After 2 Years.开放性楔形高位胫骨截骨术联合磨削术/微骨折术治疗重度内侧骨关节炎合并内翻畸形：5年随访结果及2年后关节镜检查结果
Arthroscopy. 2015 Jul;31(7):1279-88. doi: 10.1016/j.arthro.2015.02.010. Epub 2015 Apr 7.
2
Changes in patellofemoral alignment do not cause clinical impact after open-wedge high tibial osteotomy.开放性楔形高位胫骨截骨术后，髌股关节对线的改变不会产生临床影响。
Knee Surg Sports Traumatol Arthrosc. 2016 Jan;24(1):129-33. doi: 10.1007/s00167-014-3349-y. Epub 2014 Oct 7.
3
单光子发射计算机断层扫描/计算机断层扫描（SPECT/CT）在内侧开放楔形高位胫骨截骨术后评估术后结果中的临床应用价值
Orthop J Sports Med. 2022 Oct 12;10(10):23259671221121083. doi: 10.1177/23259671221121083. eCollection 2022 Oct.
4
Patellofemoral Joint after Opening Wedge High Tibial Osteotomy: A Comparative Study of Uniplane versus Biplane Osteotomies.胫骨高位截骨术后髌股关节：单平面与双平面截骨术的对比研究。
Orthop Surg. 2022 Oct;14(10):2607-2617. doi: 10.1111/os.13472. Epub 2022 Sep 13.
5
Change of joint-line convergence angle should be considered for accurate alignment correction in high tibial osteotomy.在高位胫骨截骨术中，为了进行精确的对线矫正，应考虑关节线汇聚角的变化。
Knee Surg Relat Res. 2021 Jan 11;33(1):4. doi: 10.1186/s43019-020-00076-x.
6
Are There Harmful Effects of Preoperative Mild Lateral or Patellofemoral Degeneration on the Outcomes of Open Wedge High Tibial Osteotomy for Medial Compartmental Osteoarthritis?术前轻度外侧或髌股关节退变对内侧间室骨关节炎行开放性楔形高位胫骨截骨术的疗效是否有不良影响？
Orthop J Sports Med. 2020 Jun 23;8(6):2325967120927481. doi: 10.1177/2325967120927481. eCollection 2020 Jun.
7
Analysis and quantification of bone healing after open wedge high tibial osteotomy.开放式楔形胫骨高位截骨术后骨愈合的分析与定量评估。
Wien Klin Wochenschr. 2019 Dec;131(23-24):587-598. doi: 10.1007/s00508-019-01541-8. Epub 2019 Sep 9.
8
Biplane opening wedge high tibial osteotomy with a distal tuberosity osteotomy, radiological and clinical analysis with minimum follow-up of 2 years.双平面开放楔形高位胫骨截骨术联合远侧结节截骨术：2年最小随访期的影像学与临床分析
J Exp Orthop. 2019 Feb 28;6(1):10. doi: 10.1186/s40634-019-0176-6.
Assessment of the loading history of patients after high tibial osteotomy using SPECT/CT--a new diagnostic tool and algorithm.
使用 SPECT/CT 评估高胫骨截骨术后患者的负荷史——一种新的诊断工具和算法。
J Orthop Surg Res. 2013 Dec 10;8:46. doi: 10.1186/1749-799X-8-46.
4
Assessment of loading history of compartments in the knee using bone SPECT/CT: a study combining alignment and 99mTc-HDP tracer uptake/distribution patterns.使用骨 SPECT/CT 评估膝关节室的负荷史：一项结合对线和 99mTc-HDP 示踪剂摄取/分布模式的研究。
J Orthop Res. 2013 Feb;31(2):268-74. doi: 10.1002/jor.22206. Epub 2012 Aug 8.
5
High tibial osteotomy.高位胫骨截骨术
Knee Surg Relat Res. 2012 Jun;24(2):61-9. doi: 10.5792/ksrr.2012.24.2.61. Epub 2012 May 31.
6
Single photon emission computerized tomography and conventional computerized tomography (SPECT/CT) for evaluation of patients after anterior cruciate ligament reconstruction: a novel standardized algorithm combining mechanical and metabolic information.单光子发射计算机断层扫描和传统计算机断层扫描（SPECT/CT）在评价前交叉韧带重建术后患者中的应用：一种结合机械和代谢信息的新型标准化算法。
Knee Surg Sports Traumatol Arthrosc. 2013 Apr;21(4):965-74. doi: 10.1007/s00167-012-2083-6. Epub 2012 Jun 13.
7
Standardized volumetric 3D-analysis of SPECT/CT imaging in orthopaedics: overcoming the limitations of qualitative 2D analysis.SPECT/CT 影像学的标准化容积三维分析：克服二维定性分析的局限性。
BMC Med Imaging. 2012 Mar 29;12:5. doi: 10.1186/1471-2342-12-5.
8
Long-term survival of high tibial osteotomy for medial compartment osteoarthritis of the knee.胫骨高位截骨术治疗膝关节内侧间室骨关节炎的长期生存率。
Am J Sports Med. 2011 Jan;39(1):64-70. doi: 10.1177/0363546510377445. Epub 2010 Sep 10.
9
Clinical benefit of SPECT/CT for follow-up of surgical treatment of osteochondritis dissecans.SPECT/CT 对手术治疗剥脱性骨软骨炎的随访的临床获益。
Ann Nucl Med. 2010 Oct;24(8):621-4. doi: 10.1007/s12149-010-0391-9. Epub 2010 Jun 11.
10
Combined single photon emission computerised tomography and conventional computerised tomography (SPECT/CT) in patellofemoral disorders: a clinical review.髌股关节紊乱的单光子发射计算机断层扫描和常规计算机断层扫描（SPECT/CT）联合应用：临床综述。
Int Orthop. 2011 May;35(5):675-80. doi: 10.1007/s00264-010-1049-x. Epub 2010 May 29.