Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (10): 69-73.doi: 10.6040/j.issn.1671-7554.0.2023.0144

Previous Articles     Next Articles

Relationship between preoperative cartilage condition and postoperative VAS in patients undergoing high tibial osteotomy

LI Lei1,2, LU Qunshan2, ZHANG Baoqing2, HAN Kaifei1,2, ZHENG Tong1,2, LI Binglong1,2, LIU Peilai2   

  1. 1. The First Clinical College of Shandong University, Jinan 250012, Shandong, China;
    2. Department of Orthopedic, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Published:2023-11-08

PDF (PC)

86

Abstract: Objective To evaluate the relationship between preoperative cartilage injury and clinical efficacy of high tibial osteotomy(HTO)by analyzing the postoperative visual analogue scale(VAS)of knee pain. Methods Clinical data of 42 patients with knee osteoarthritis treated with surgery and followed up during Oct. 2018 and May 2021 were retrospectively analyzed. The patients were divided into Outbridge Ⅲ group and Outbridge Ⅳ group. The operation time, intraoperative blood loss, intraoperative cartilage injury under knee arthroscopy, postoperative drainage volume, and follow-up results at 6 weeks, 3 months, 6 months, and 1 year were statistically analyzed. The degree of knee pain was evaluated with VAS scoring system. Results All 42 patients were followed up for an average of 7.39 months(6-12 months). All osteotomy fracture lines were clinically healed. There were no significant differences in operation time, postoperative drainage volume, intraoperative blood loss and VAS between the two groups(P>0.05). Conclusion Patients with Outbridge Ⅲ and Outbridge Ⅳ knee osteoarthritis can obtain satisfactory clinical results after HTO.

Key words: High tibial osteotomy, Cartilage injury, Visual analogue scale, Knee preservation treatment

CLC Number: 

  • R687.4
[1] Roseti L, Desando G, Cavallo C, et al. Articular cartilage regeneration in osteoarthritis [J]. Cells, 2019, 8(11): 1305.
[2] 郭高鹏, 王强, 张晨, 等. 胫骨高位截骨术治疗膝骨性关节炎相关研究进展[J]. 陕西医学杂志, 2020, 49(9): 1195-1198. GUO Gaopeng, WANG Qiang, ZHANG Chen, et al. Research progress of high tibial osteotomy in the treatment of knee osteoarthritis [J]. Shanxi Medical Journal, 2020, 49(9): 1195-1198.
[3] 中华医学会骨科学分会关节外科学组, 中国医师协会骨科医师分会骨关节炎学组, 国家老年疾病临床医学研究中心(湘雅医院), 等. 中国骨关节炎诊疗指南(2021年版)[J]. 中华骨科杂志, 2021, 41(18):1291-1314.
[4] 刘明, 孙利华, 刘国恩. 中国城镇居民5种慢性疾病的经济负担和经济风险[J]. 北京大学学报(医学版), 2014, 46(5): 782-789. LIU Ming, SUN Lihua, LIU Guoen. Economic burden and economic risk of five major chronic diseases among Chinese urban residents [J]. Journal of Peking University(Health Sciences), 2014, 46(5): 782-789.
[5] Chen H, Wang HC, Crimmins EM, et al. The contributions of diseases to disability burden among the elderly population in China [J]. J Aging Health, 2014, 26(2): 261-282.
[6] 王斌, 邢丹, 董圣杰, 等. 中国膝骨关节炎流行病学和疾病负担的系统评价[J]. 中国循证医学杂志, 2018, 18(2): 134-142. WANG Bin, XING Dan, DONG Shengjie, et al. Prevalence and disease burden of knee osteoarthritis in China: a systematic review [J]. Chinese Journal of Evidence-Based Medicine, 2018, 18(2): 134-142.
[7] 高万露, 汪小海. 视觉模拟疼痛评分研究的进展[J]. 医学研究杂志, 2013, 42(12): 144-146. GAO Wanlu, WANG Xiaohai. Research progress of visual simulated pain score [J]. Journal of Medical Research, 2013, 42(12): 144-146.
[8] Cross M, Smith E, Hoy D, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study [J]. Ann Rheum Dis, 2014, 73(7): 1323-1330.
[9] Mauck RL, Byers BA, Yuan X, et al. Regulation of cartilaginous ECM gene transcription by chondrocytes and MSCs in 3D culture in response to dynamic loading [J]. Biomech Model Mechanobiol,2007, 6(1-2): 113-125.
[10] Kim CW, Seo SS, Lee CR, et al. Factors affecting articular cartilage repair after open-wedge high tibial osteotomy [J]. Knee, 2017, 24(5): 1099-1107.
[11] 刘勇. 胫骨高位截骨术(HTO)治疗早期膝关节骨性关节炎的临床应用与研究[J]. 当代医学, 2021, 27(1): 94-96. LIU Yong. Clinical application and research of high tibial osteotomy(HTO)in the treatment of early knee osteoarthritis [J]. Contemporary Medicine, 2021, 27(1): 94-96.
[12] 郭保逢, 秦泗河, 黄野. 膝关节骨关节炎的保膝治疗进展[J]. 中国修复重建外科杂志, 2018, 32(10): 1292-1296. GUO Baofeng, QIN Sihe, HUANG Ye. Progress in knee-sparing treatment of knee osteoarthritis [J]. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(10): 1292-1296.
[13] Li L, Liu XQ, Herr K. Postoperative pain intensity assessment: a comparison of four scales in Chinese adults [J]. Pain Med, 2007, 8(3): 223-234.
[14] Losina E, Thornhill TS, Rome BN, et al. The dramatic increase in total knee replacement utilization rates in the United States cannot be fully explained by growth in population size and the obesity epidemic [J]. J Bone Joint Surg Am, 2012, 94(3): 201-207.
[15] Carr AJ, Robertsson O, Graves S, et al. Knee replacement [J]. Lancet, 2012, 379(9823): 1331-1340.
[16] Fu D, Li G, Chen K, et al. Comparison of high tibial osteotomy and unicompartmental knee arthroplasty in the treatment of unicompartmental osteoarthritis: a meta-analysis [J]. J Arthroplasty, 2013, 28(5): 759-765.
[17] Conventry MB. Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. A preliminary report by Mark B. Conventry, MD. From the section of orthopedic surgery, mayo clinic and mayo foundation, rochester, minnesota. 1965 [J]. J Bone Jt Surg Am Vol, 2001, 83(9): 1426.
[18] Coventry MB. Upper tibial osteotomy [J]. Clin Orthop Relat Res, 1984(182): 46-52.
[19] Patsch C, Dirisamer F. The basics of knee osteotomy: clinical examination, analysis of the deformity and correction planning [J]. Der Orthopade, 2017, 46(7): 558-562.
[20] Schuster P, Geßlein M, Schlumberger M, et al. Ten-year results of medial open-wedge high tibial osteotomy and chondral resurfacing in severe medial osteoarthritis and Varus malalignment [J]. Am J Sports Med, 2018, 46(6): 1362-1370.
[21] Odenbring S, Tjörnstrand B, Egund N, et al. Function after tibial osteotomy for medial gonarthrosis below aged 50 years [J]. Acta Orthop Scand, 1989, 60(5): 527-531.
[22] 王剑, 韩昶晓, 田向东, 等. 胫骨高位截骨术后二次镜下探查软骨修复情况[J]. 中国骨伤, 2020, 33(5): 465-469. WANG Jian, HAN Changxiao, TIAN Xiangdong, et al. Evaluation of cartilage regeneration by arthroscopy after high tibial osteotomy [J]. China Journal of Orthopaedics and Traumatology, 2020, 33(5): 465-469.
[23] W-Dahl A, Robertsson O, Lidgren L. Surgery for knee osteoarthritis in younger patients [J]. Acta Orthop, 2010, 81(2): 161-164.
[24] Smith JO, Wilson AJ, Thomas NP. Osteotomy around the knee: evolution, principles and results [J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(1): 3-22.
[25] Wright J, Heck D, Hawker G, et al. Rates of tibial osteotomies in Canada and the United States [J]. Clin Orthop Relat Res, 1995(319): 266-275.
[26] Schallberger A, Jacobi M, Wahl P, et al. High tibial valgus osteotomy in unicompartmental medial osteoarthritis of the knee: a retrospective follow-up study over 13-21 years [J]. Knee Surg Sports Traumatol Arthrosc, 2011, 19(1): 122-127.
[27] Amendola A, Bonasia DE. Results of high tibial osteotomy: review of the literature [J]. Int Orthop, 2010, 34(2): 155-160.
[1] LI Songlin, LIU Peilai, LU Qunshan, MA Heran. Application of high tibial osteotomy combined with autologous adipose-derived mesenchymal stem cells injection in the repair of knee cartilage [J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 82-88.
[2] BAO Xuezhi, ZHAO Peng, LIU Peilai, LU Qunshan, LI Ming, ZHANG Yuankai, LI Deqiang. Short-term curative effect of open wedge high tibial osteotomy in the treatment of medial compartment knee osteoarthritis [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(10): 85-89.
[3] ZHANG Guo-zhuan1, LIANG Li-shuang1, YU Shao-hua2, LIU Xu-dong1. Evaluation of therapeutic efficiency of analgecine injection onpostherpetic neuralgia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2010, 48(9): 107-109.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
[1] MA Qingyuan, PU Peidong, HAN Fei, WANG Chao, ZHU Zhoujun, WANG Weishan, SHI Chenhui. Effect of miR-27b-3p regulating SMAD1 on osteosarcoma cell proliferation, migration and invasion[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 32 -37 .
[2] SUO Dongyang, SHEN Fei, GUO Hao, LIU Lichang, YANG Huimin, YANG Xiangdong. Expression and mechanism of Tim-3 in animal model of drug-induced acute kidney injury[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 1 -6 .
[3] XU Yuxiang, LIU Yudong, ZHANG Peng, DUAN Ruisheng. A retrospective analysis of risk factors of cerebral microbleeds in 101 patients with cerebral small vessel disease[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 67 -71 .
[4] DING Xiangyun, YU Qingmei, ZHANG Wenfang, ZHUANG Yuan, HAO Jing. Correlation of the expression of insulin-like growth factor II in granulosa cells and ovulation induction outcomes of 84 patients with polycystic ovary syndrome[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 60 -66 .
[5] GUO Zhihua, ZHAO Daqing, XING Yuan, WANG Wei, LIANG Leping, YANG Jing, ZHAO Qianqian. Single-stage end-to-end anastomosis in the management of severe cervical tracheal stenosis[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 72 -76 .
[6] LUO Xin, HE Bing, NIE Qingsheng, HOU Zhenbo, DONG Jun, LI Yuhua, ZENG Xiangqin, LIU Wei, KONG Demin, CAO Jinfeng. Comparison of the value of mono-exponential mode and diffusion kurtosis imaging mode in grading clear cell renal cell carcinoma using magnetic resonance diffusion-weighted imaging[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 89 -95 .
[7] LYU Longfei, LI Lin, LI Shuhai, QI Lei, LU Ming, CHENG Chuanle, TIAN Hui. Application of laparoscopic fine needle catheter jejunostomy in minimally invasive McKeown resection of esophageal cancer[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 77 -81 .
[8] ZHANG Juan, ZHANG Lujia, XIAO Wei, LI Shunping. Influencing factors of perceived stress and job retention in national standardized training for resident doctors[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 108 -114 .
[9] ZHANG Baowen, LEI Xiangli, LI Jinna, LUO Xiangjun, ZOU Rong. miR-21-5p targeted TIMP3 to inhibit proliferation and extracellular matrix accumulation of mesangial cells in Type II diabetic nephropathy mice[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 7 -14 .
[10] FU Jieqi, ZHANG Man, ZHANG Xiaolu, LI Hui, CHEN Hong. Molecular mechanism of Toll-like receptor 4 in the aggravation of blood lipid accumulation by inhibiting the peroxisome proliferator-activate receptor γ[J]. Journal of Shandong University (Health Sciences), 2020, 1(7): 24 -31 .
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd