Orthoview 软件辅助下 HTO 联合关节镜下内侧半月板后根缝合治疗骨关节炎伴内侧半月板后根撕裂的临床疗效分析张英健王立军

往期阅览 · All Issues-> 2025年 · 2025

临床用药研究，2025年，第1卷，第1期，第20-25页，pISSN 3105-6741、eISSN 3105-675X

发布者：Quest Press

发布日期：2026/4/16

doi 10.66106/lyyaa3.20250106

Open Access

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Orthoview 软件辅助下 HTO 联合关节镜下内侧半月板后根缝合治疗骨关节炎伴内侧半月板后根撕裂的临床疗效分析

张英健,王立军

慈溪市第三人民医院医疗健康集团，浙江宁波，315300

摘要：目的：回顾性分析Orthoview软件辅助下胫骨高位截骨术（hightibialosteotomy，HTO）联合关节镜下内侧半月板后根缝合治疗膝关节内翻性骨性关节炎（osteoarthritis，OA）伴内侧半月板后根撕裂的临床疗效。方法：回顾自2021年1月—2023年10月收治的40例膝关节OA伴内侧半月板后根撕裂的患者资料，其中男16例，女24例，年龄42～69岁。应用Orthoview软件进行术前设计，确定截骨位置、撑开角度、撑开宽度，根据术前设计进行胫骨高位截骨，关节镜下对内侧半月板后根进行缝合，将缝合结打在钢板上，所有手术都由同一术者完成。术后经过长期随访，观察对比手术前后膝关节功能评分（thehospitalforspecialsurgerykneeratingscale，HSS）、Lysholm评分及疼痛视觉模拟评分（visualanaloguescale，VAS）等指标对疗效进行评估与分析。结果：40例患者随访时间12～24个月，患者X线片复查膝内翻畸形得到纠正，截骨均愈合。术后HSS评分、Lysholm评分及VAS评分明显优于术前。结论：Orthoview软件辅助下HTO联合关节镜下内侧半月板后根缝合治疗膝关节内翻性OA能有效纠正力线，恢复正常半月板的力学结构，缓解膝关节疼痛，改善膝关节功能。

关健词：Orthoview；骨性关节炎；胫骨高位截骨术；退变性内侧半月板后根撕裂

Analysis of the Clinical Efficacy of HTO Combined with Arthroscopic Medial Meniscus Posterior Root Suture Assisted by Orthoview Software in the Treatment of Osteoarthritis with Medial Meniscus Posterior Root Tear

Yingjian Zhang,Lijun Wang

The Third People’s Hospital Health Care Group of Cixi，315300

Abstract：Objective: To retrospectively analyze the clinical efficacy of high tibial osteotomy（HTO）assisted by Orthoview software combined with arthroscopic medial meniscus posterior root suture in the treatment of varus knee osteoarthritis（OA）with medial meniscus posterior root tear. Methods: Clinical data of 40 patients with knee OA and medial meniscus posterior root tear admitted between January 2021 and October 2023 were reviewed. This included 16 males and 24 females，aged 42 to 69 years. Preoperative planning was performed using Orthoview software to determine the osteotomy site，correction angle，and distraction width. High tibial osteotomy was then performed according to the preoperative plan. Arthroscopic suture of the medial meniscus posterior root was carried out，with the suture knots tied onto the plate. All surgeries were performed by the same surgeon. After long-term follow-up，therapeutic outcomes were evaluated and analyzed by observing and comparing pre- and postoperative knee function scores [the Hospital for Special Surgery （HSS）Knee Rating Scale]，Lysholm scores，and visual analogue scale（VAS）pain scores. Results: All 40 patients were followed up for 12 to 24 months. X-ray review showed correction of the varus deformity in all patients，and all osteotomies achieved healing. The postoperative HSS score，Lysholm score，and VAS score were significantly better than the preoperative scores. Conclusion: HTO assisted by Orthoview software combined with arthroscopic medial meniscus posterior root suture for the treatment of varus knee OA can effectively correct lower limb alignment，restore the normal biomechanical structure of the meniscus，alleviate knee pain，and improve knee function.

Keywords : Orthoview；Osteoarthritis；High tibial osteotomy；Degenerative medial meniscus posterior root tear

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