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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”
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DOI   10.11656/j.issn.1672-1519.2025.09.07
Key Words   correct bone flexible muscles and solid flesh;knee osteoarthritis;knee-preserving osteotomy;balancing effect
Author NameAffiliationE-mail
LIU Jiajin First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
YU Weijie First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
CHEN Jixin First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
NIU Puyu First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
TANG Haozhi First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
 
LIU Aifeng First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China
National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China 
draifeng@163.com 
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.

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