“骨正筋柔肉实”理论探析保膝截骨术治疗膝骨关节炎的调衡作用

Exploration of balancing effect of knee osteotomy in the treatment of knee osteoarthritis on the theory of “the bone is right，the tendons are soft and the flesh is solid”

关键词:  骨正筋柔肉实  膝骨关节炎  保膝截骨术  调衡作用

Key words:  correct bone flexible muscles and solid flesh  knee osteoarthritis  knee-preserving osteotomy  balancing effect

摘要:

骨、筋、肌肉系统是维持膝关节稳定和功能活动的重要结构，筋骨肉失衡可诱发膝骨关节炎（KOA）。随着保膝理念不断发展，保膝截骨术成为该病有效的治疗方式之一。基于“骨正筋柔肉实”理论，针对KOA患者筋骨肉失衡的病理状态，探析保膝截骨术治疗KOA的调衡作用，通过截除部分骨质以“正骨”，改善膝关节周围软组织状态以“柔筋”，术后功能锻炼以“实肉”，发挥双向调衡作用，恢复膝关节整体稳定，达到筋骨肉平衡，以期丰富保膝截骨术治疗KOA的理论基础。

Abstract:

The bone，tendon and muscle system are important structures to maintain the stability and functional activities of the knee joint. The imbalance of the muscle and bone can induce knee osteoarthritis（KOA）. With the continuous development of the concept of knee preservation，knee osteotomy has become one of the effective treatment methods for this disease. Based on the theory of “bone is right and tendons are soft and solid”，aiming at the pathological state of muscle and bone imbalance in patients with KOA，the regulating effect of knee osteotomy in treating KOA is analyzed. By removing part of bone to “regulate bone”，improving the soft tissue state around the knee joint to “soften tendons”，and postoperative functional exercise to “solid flesh”，the two-way regulating effect is played to restore the overall stability of the knee joint. To achieve the balance of muscles and bones，in order to enrich the theoretical basis of knee osteotomy treatment of KOA.