内侧开口楔形胫骨高位截骨术对膝骨关节炎患者心理健康的有益影响

IF 2.7 Q2 ORTHOPEDICS

Journal of Experimental Orthopaedics Pub Date : 2025-09-04 DOI:10.1002/jeo2.70400

Ashton Kai Shun Tan, Xinyu Tao, Shao Jin Teo, Don Thong Siang Koh, Junwei Soong, Hamid Rahmatullah Bin Abd Razak, Kong Hwee Lee

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引用次数: 0

摘要

目的膝关节骨性关节炎（OA）是世界上最常见的退行性关节疾病。它不仅会导致身体上的限制和疼痛，还会对生活质量和心理健康产生负面影响。治疗选择，如内侧开口楔形高位胫骨截骨术（MOWHTO）有助于缓解疼痛和改善功能，但对心理健康的影响文献有限。本研究旨在探讨MOWHTO对膝关节炎患者心理健康的影响。方法在这项回顾性队列研究中，收集了2019年至2023年在一所高等教育机构接受MOWHTO治疗的患者的数据。主要结局评分，短表-36精神成分评分（SF-36 MCS），记录于基线、术后6个月和2年。次要结局包括SF-36身体成分评分（PCS）和牛津膝关节评分（OKS）。结果共有108例mowhto，其中男性51例，女性57例。手术时平均年龄55.4±6.97岁。在6个月的随访中，12名患者没有出现。术后6个月和2年SF-36 MCS均值分别由术前的50.8±12.6分和57.1±11.0分（p < 0.05）和56.8 + 9.07分（p < 0.05）显著改善。随访6个月和2年，SF-36 PCS和OKS评分均有显著升高（p < 0.05）。术前SF-36 MCS升高与术后SF-36 PCS改善（ρ = 0.184, p = 0.05）和OKS改善（ρ = - 0.218, p = 0.02 < 0.05）显著相关。结论：在2年的随访中，MOWHTO可显著改善膝关节OA患者的心理健康状况。术前心理健康与术后预后之间存在相关性，提示心理健康在影响MOWHTO预后方面发挥作用。证据等级四级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Beneficial effect of medial opening wedge high tibial osteotomy on mental health of patients with knee osteoarthritis

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Beneficial effect of medial opening wedge high tibial osteotomy on mental health of patients with knee osteoarthritis

Purpose

Knee osteoarthritis (OA) is the most common degenerative joint disease in the world. It results in not only physical limitation and pain, but also negatively impacts quality of life and mental wellbeing. Treatment options such as medial opening wedge high tibial osteotomy (MOWHTO) help to relieve pain and improve functionality, but there is limited literature on the effect on mental health. This study aims to investigate the effect of MOWHTO on the mental health of patients with knee OA.

Methods

In this retrospective cohort study, data were collected from patients who underwent MOWHTO between 2019 and 2023 in a single tertiary institution. The main outcome score, short form-36 mental component score (SF-36 MCS), was recorded at baseline, 6 months and 2 years postprocedure. Secondary outcomes included the SF-36 physical component score (PCS) and Oxford knee score (OKS).

Results

There were a total of 108 MOWHTOs, comprising 51 men and 57 women. At surgery, the mean age was 55.4 ± 6.97. Twelve patients did not turn up at the 6-month follow-up. There was a significant improvement of SF-36 MCS from a preoperative mean of 50.8 ± 12.6 to 57.1 ± 11.0 (p < 0.05) and 56.8 + 9.07 (p < 0.05) at 6 months and 2 years postoperation, respectively. There was also a significant increase in the scores of SF-36 PCS and OKS (p < 0.05 for both) at 6-month and 2-year follow-up. Higher preoperative SF-36 MCS was significantly correlated with improved postoperation SF-36 PCS (ρ = 0.184, p = 0.05) and OKS (ρ = −0.218, p = 0.02 < 0.05).

Conclusions

At 2-year follow-up, MOWHTO results in a significant improvement in the mental health of patients with knee OA. There is a correlation between preoperative mental health and postoperative outcomes, suggesting a role of mental health in affecting MOWHTO outcomes.