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近端腓骨截骨术治疗膝关节内侧间室骨关节炎：一项前瞻性研究。

Proximal Fibular Osteotomy in the Management of Medial Compartment Osteoarthritis of the Knee: A Prospective Study.

作者信息

Bajaj Vedant, Khare Tarun, Singh Ambrish K, Agrawal Shubham

机构信息

Orthopedics, Dr. Baba Saheb Ambedkar Medical College and Hospital, New Delhi, IND.

出版信息

Cureus. 2025 Aug 10;17(8):e89751. doi: 10.7759/cureus.89751. eCollection 2025 Aug.

DOI:10.7759/cureus.89751
PMID:40951099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12422986/
Abstract

BACKGROUND

Knee osteoarthritis (OA) is a prevalent chronic, progressive, degenerative condition in older individuals, characterized by joint pain, stiffness, and deformity. The rate of articular degeneration in weight-bearing areas exceeds that in non-weight-bearing regions of the joint, which subsequently calcify to form osteophytes. Patients who do not find relief from oral and topical nonsteroidal anti-inflammatory drugs (NSAIDs) and steroids may benefit from intra-articular injections of platelet-rich plasma (PRP) and surgical interventions such as proximal fibular osteotomy (PFO), high tibial osteotomy (HTO), and total knee replacement (TKR).

AIM

This study aims to evaluate the efficacy of PFO in treating medial compartment OA of the knee.

MATERIALS AND METHODS

A total of 21 patients with medial compartment OA who attended the orthopedics outpatient department (OPD) during the study period of two years (2019-2020) were included. Patients diagnosed with medial compartment OA underwent PFO. The outcomes of the treatment were assessed using the visual analog scale (VAS) score and the Modified Oxford Knee Score.

RESULTS

There was an improvement in medial knee pain in nearly all patients following PFO. Improvements were noted in the medial joint space, VAS score, and Modified Oxford Knee Score.

CONCLUSION

The present study demonstrates that PFO effectively alleviates pain and enhances joint function in patients with medial compartment OA at 12 months postoperatively.

摘要

背景

膝关节骨关节炎（OA）是老年人中一种常见的慢性、进行性、退行性疾病，其特征为关节疼痛、僵硬和畸形。关节负重区域的关节退变速度超过关节非负重区域，随后钙化形成骨赘。口服和外用非甾体抗炎药（NSAIDs）及类固醇治疗无效的患者可能从关节腔内注射富血小板血浆（PRP）以及诸如近端腓骨截骨术（PFO）、高位胫骨截骨术（HTO）和全膝关节置换术（TKR）等手术干预中获益。

目的

本研究旨在评估PFO治疗膝关节内侧间室OA的疗效。

材料与方法

纳入在两年（20世纪20年代）研究期间到骨科门诊就诊的21例膝关节内侧间室OA患者。诊断为膝关节内侧间室OA的患者接受了PFO。使用视觉模拟量表（VAS）评分和改良牛津膝关节评分评估治疗结果。

结果

几乎所有接受PFO治疗的患者膝关节内侧疼痛均有改善。在内侧关节间隙、VAS评分和改良牛津膝关节评分方面均有改善。

结论

本研究表明，PFO在术后12个月可有效减轻膝关节内侧间室OA患者的疼痛并增强关节功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/e9d49692ba45/cureus-0017-00000089751-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/8071dbc4498a/cureus-0017-00000089751-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/0bf88d2e5ac9/cureus-0017-00000089751-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/7fa2737c5efd/cureus-0017-00000089751-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/52c374a8b092/cureus-0017-00000089751-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/7a4a426ccb17/cureus-0017-00000089751-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/e9d49692ba45/cureus-0017-00000089751-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/8071dbc4498a/cureus-0017-00000089751-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/0bf88d2e5ac9/cureus-0017-00000089751-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/7fa2737c5efd/cureus-0017-00000089751-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/52c374a8b092/cureus-0017-00000089751-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/7a4a426ccb17/cureus-0017-00000089751-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c13f/12422986/e9d49692ba45/cureus-0017-00000089751-i06.jpg

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J Orthop Surg Res. 2022 Oct 28;17(1):470. doi: 10.1186/s13018-022-03299-8.
2
A Critical Review of Proximal Fibular Osteotomy for Knee Osteoarthritis.膝关节骨关节炎近端腓骨截骨术的批判性综述
Arch Bone Jt Surg. 2019 Sep;7(5):453-462.
3
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4
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J Int Med Res. 2018 Aug;46(8):3114-3123. doi: 10.1177/0300060518772715. Epub 2018 May 30.
5
Proximal fibular osteotomy to treat medial compartment knee osteoarthritis: Preoperational factors for short-term prognosis.腓骨近端截骨术治疗内侧间室膝关节骨关节炎：短期预后的术前因素。
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