基于筋骨肉理论探讨胫骨高位截骨术和膝关节单髁置换术的中医内涵

Based on the theory of muscle, bone and flesh, the connotation of traditional Chinese medicine of high tibial osteotomy and unicompartmental knee arthroplasty was discussed

关键词:  膝骨关节炎  筋骨肉并重  胫骨高位截骨术  膝关节单髁置换术

Key words:  knee osteoarthritis  equal emphasis on tendons, bone and flesh  high tibial osteotomy  unicompartmental knee arthroplasty

摘要:

膝骨关节炎（KOA）是1种随时间发展的退行性疾病，以膝关节疼痛、肿胀甚至畸形为主要临床表现。在中医辨证中，一般将此类病归为“痹证”和“骨痹”等范畴，其早期疾病发展在筋、骨、肉三者中均有体现，这与中医“筋骨肉理论”中所描述的“骨不正”“筋不柔”“肉不实”的病理状态相匹配。KOA早期常见手术干预措施包括：胫骨高位截骨术（HTO）和膝关节单髁置换术（UKA），文章旨在探讨“筋骨肉理论”对于这两种手术治疗的指导意义。

Abstract:

Knee osteoarthritis(KOA) is a degenerative disease that develops over time,with pain,swelling and even deformity of the knee joint as the main clinical manifestations. In the dialectic of traditional Chinese medicine(TCM),such diseases are generally classified into the categories of "paralysis syndrome" and "bone paralysis",and the early development of the disease is reflected in the tendons,bones,and flesh,which matches the pathological state of "bone abnormality","tendon inflexibility" and "flesh inauthenticity" described in the theory of "muscles,bones and flesh" in TCM. Common surgical interventions in the early stage of KOA include high tibial osteotomy(HTO) and unicompartmental knee arthroplasty(UKA),and this article aims to explore the guiding significance of the "musculoskeletal and flesh" theory for these two surgical treatments.