骨正筋柔理论在单髁置换术中的应用探讨

Discussion on the Application of the Theory of “Guzheng Jinrou” in Unicompartmental Knee Arthroplasty

Abstract: In the field of orthopedics and traumatology of traditional Chinese medicine, the theory of “Guzheng Jinrou” occupies an important position. Knee osteoarthritis is a chronic joint disease mainly characterized by degeneration, damage of articular cartilage and hyperosteogeny. In its late stage, the state of “tendons losing their softness and bones losing their straightness” can be seen. Unicompartmental knee arthroplasty is one of the important knee-preserving methods for treating advanced knee osteoarthritis. This article discusses the application of the theory of “straight bones and soft tendons” in unicompartmental knee arthroplasty. Firstly, it elaborates on the connotation of “straight bones and soft tendons”, analyzes the relationship between bones and tendons, and analyzes that the etiology and pathogenesis of knee osteoarthritis is “simultaneous diseases of bones and tendons” and should be “treated simultaneously for bones and tendons”, and introduces the principles and advantages of UKA. Then it elaborates on the specific applications of the theory of “straight bones and soft tendons” in unicompartmental knee arthroplasty: preoperatively assessing the health status of bones and tendons and looking for tendon-knot lesions; during the operation, achieving “straight bones” through osteotomy and prosthesis installation, and emphasizing soft tissue balance to embody “soft tendons”; postoperatively formulating personalized rehabilitation programs according to the theory, such as acupuncture, acupotomy, manual massage, etc. to treat tendon-knot lesions to achieve “simultaneous treatment of bones and tendons”. The results show that the theory of “straight bones and soft tendons” runs through the whole process of UKA, can take into account the advantages of both traditional Chinese and Western medicine, helps to shorten the rehabilitation time, improve the rehabilitation effect and the quality of life of patients, and emphasizes that traditional Chinese and Western medicine should complement and learn from each other to achieve a comprehensive treatment of KOA.