Dazhong Net·Poster reporter Xu Ling correspondent Guan Tianxing reported from Jinan
How important is the human knee?
“Normally, who would think of cherishing their knees? Only when they can’t squat, walk, or go down stairs.”
Master Tong, who said this, I am 51 years old this year, my hometown is in Hebei Province. Since the beginning of January this year, I can no longer go out to work to earn money as usual: the knee joint of my right leg has a dull pain, which suddenly increases when I stand up to walk, and when I walk down the stairs It is even more unbearable, and it is difficult to stand up when squatting down.
According to the introduction of Master Tong’s family: At first, I thought it was because I was working too much and I would be fine with a rest. However, after resting at home for a month, it still didn’t work. Sitting or lying on the bed was painful. It wasn’t that bad, but as soon as I moved, it was so painful that I couldn’t stand.
Master Tong went to Jinan Central Hospital for treatment. Gao Yulei, director of the Second Department of Joint Surgery, said: “His disease is accurately diagnosed as degenerative arthritis of the right knee joint and meniscus injury, which are relatively common. However, it brings great inconvenience to people’s daily life. Simply resting at home for a period of time cannot eliminate the cause, and surgical treatment can significantly relieve the symptoms.”
Knee-related medical terms
Degenerative arthritis of the knee
Why surgery is needed?
When it comes to arthritis, especially the inflammation of the knee joint, I believe that many people feel “common disease” at first, and many people will immediately think of acupuncture, massage, physiotherapy and hot compress, Plasters, even heirloom recipes, etc.
On March 16th, Master Tong came to Jinan Central Hospital and learned that he needed to be hospitalized and operated, but he still felt unwilling: People who do manual work, is arthritis still very common? How did it come to the point where surgery was needed all of a sudden?
However, Master Tong still followed the doctor’s advice and went through the hospitalization procedures. Master Tong said: “I can feel the pain in my right knee is getting worse. I can’t do the work I used to be able to do now, which seriously affects my daily life. From Hebei to Shandong, I still trust doctors in big hospitals.”
Patient’s right knee prior to surgery
Degeneration of the medial compartment of the knee
Patellofemoral joint surface degeneration
In this regard, Zhang Xinguang, the chief physician of the Second Department of Joint Surgery, Jinan Central Hospital, explained to the patient: “It can be seen from the film. , mild varus deformity of the right knee. A more detailed examination revealed degeneration of the medial compartment of the knee and the patellofemoral articular surface.”
< p class="imgDesc">Severe degeneration of the patellar articular surface
Why is the pain so severe and unbearable when the patient squates and stands up? It is an inevitable reflection of the degeneration of the patellofemoral articular surface. As shown in the picture above:
Faced with complex problems, the patient, Master Tong, and the whole family have only one simple goal: how can I not delay work like in the past?
Jinan Central Hospital Director Gao Yulei said: “If a total knee replacement is performed, the problem will be solved more thoroughly, but the patient is only 51 years old, compared to those who have to perform total knee replacement. It is still too young for the patients of 2000-2000. Therefore, we give up this plan. Second, if the arthroscopic treatment alone cannot completely solve the problem, because the patient still has cartilage degeneration. Therefore, we must choose a plan that not only Restoring the past daily functions and preserving the patient’s knee joint.”
The surgical plan is cleverly designed
The goal is to decompress the knee joint
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On March 18, Gao Yulei, director of the Second Department of Joint Surgery, Jinan Central Hospital, Wang Dongchen, deputy director, Xu Jun, anesthesiologist, Zhang Xinguang, assistant, etc. performed “right knee arthroscopy for half a month” for patient Master Tong. Plate trimming and shaping + right tibia high osteotomy” was successfully completed.
After surgery, the force line was changed, and the weight-bearing line was moved outward
According to the Second Department of Joint Surgery, Jinan Central Hospital Director Gao Yulei introduced that the entire surgical process is divided into two stages. First, the meniscus is repaired under knee arthroscopy to preserve most of the meniscus. Then, the upper tibial high osteotomy and internal fixation are used to change the force line of the lower extremity to reduce the medial space between the knees. chamber pressure to achieve knee protection. For patients with degenerative arthritis of the knee, which is widespread in clinical practice, this surgical concept and method can avoid artificial joint replacement and restore the patient’s exercise ability, which is very humane.
