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• W4283076332 abstract "To investigate the effect of knee suspension during titanium plate fixation on postoperative posterior tibial slope (PTS) in knee osteoarthritis (KOA) with medial opening-wedge high tibial osteotomy (OWHTO).The clinical data of 47 patients with KOA treated by OWHTO between January 2019 and December 2020 was retrospectively analyzed. In 24 cases, the knee joint was suspended when titanium plate was fixed (research group), and in 23 cases, the knee joint was naturally straightened when titanium plate was fixed (control group). There was no significant difference in gender, age, side, body mass index, disease duration, preoperative visual analogue scale (VAS) score, American Hospital for Special Surgery (HSS) score, Western Ontario and McMaster University Osteoarthritis Index (WOMAC) score, Lysholm score, and preoperative PTS between the two groups ( P>0.05). PTS were measured at 1 day after operation and last follow-up, and were compared with that before operation. Before operation and at last follow-up, VAS score was used to evaluate the knee pain, HSS score, WOMAC score, and Lysholm score were used to evaluate the knee function.The patients in both groups were followed up 13-24 months, with an average of 19.9 months. There was no complication such as incision infection, screw fracture, and deep venous thrombosis of lower limbs in two groups. At last follow-up, the VAS score, HSS score, WOMAC score, and Lysholm score in two groups were significantly improved when compared with those before operation ( P<0.05), but there was no significant difference between the two groups in the each score difference of before and after operation ( P>0.05). There was no significant difference in PTS at each time point before and after operation in the research group ( P>0.05), but PTS in the control group significantly increased at 1 day after operation and last follow-up ( P<0.05). PTS of the research group at 1 day after operation and last follow-up were significantly lower than those of the control group ( P<0.05).OWHTO can effectively relieve knee pain and improve knee function in KOA, and the increase of postoperative PTS can be effectively avoided by suspending knee joint.探讨内侧开放楔形胫骨高位截骨术（medial opening-wedge high tibial osteotomy，OWHTO）治疗膝关节骨关节炎（knee osteoarthritis，KOA）术中，钛板固定时悬空膝关节对术后胫骨平台后倾角（posterior tibial slope，PTS）的影响。.回顾分析2019年1月—2020年12月采用OWHTO治疗的47例KOA患者临床资料，其中24例钛板固定时垫高脚跟使膝关节悬空（研究组），23例钛板固定时不垫高脚跟使膝关节自然伸直（对照组）。两组患者性别、年龄、侧别、身体质量指数、病程以及术前疼痛视觉模拟评分（VAS）、美国特种外科医院（HSS）评分、西安大略与麦克马斯特大学骨关节炎指数评分（WOMAC）、Lysholm评分、PTS等一般资料比较，差异均无统计学意义（ P>0.05）。术后1 d和末次随访时测量PTS并与术前比较；术前及末次随访时采用VAS评分评估患者膝关节疼痛情况，HSS评分、WOMAC评分和Lysholm评分评估患者膝关节功能情况。.两组患者均获随访，随访时间13～24个月，平均19.9个月。两组患者均未出现切口感染、螺钉断裂、下肢深静脉血栓形成等并发症。末次随访时，两组患者VAS评分、HSS评分、WOMAC评分和Lysholm评分均较术前显著改善，差异有统计学意义（ P<0.05）；但两组间各评分手术前后差值比较差异均无统计学意义（ P>0.05）。研究组患者手术前后各时间点PTS差异均无统计学意义（ P>0.05），对照组术后1 d及末次随访时PTS较术前明显增加（ P<0.05）。术后1 d及末次随访时研究组患者PTS均显著小于对照组，差异有统计学意义（ P<0.05）。.采用OWHTO治疗KOA能有效缓解膝关节疼痛和改善功能，且通过悬空膝关节可以有效避免术后PTS的增加。." @default.
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• W4283076332 date "2022-06-15" @default.
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• W4283076332 title "[Effect of knee suspension on posterior tibial slope after medial opening-wedge high tibial osteotomy]." @default.
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• W4283076332 doi "https://doi.org/10.7507/1002-1892.202202056" @default.
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