关节镜清理结合腓骨近端截骨术对膝内翻骨关节炎的治疗效果

奉永泉; 王健龙; 刘阳; 饶磊

关节镜清理结合腓骨近端截骨术对膝内翻骨关节炎的治疗效果

玉溪市人民医院骨外三科

基金项目:

基金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2017FE467-178);

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出版历程
- 收稿日期: 2018-02-14

A Treatment Effect Study of Arthroscope Combined Proximal Humerus Osteotomy in Knee Inversion Osteoarthritis

Funds:

基金：云南省科技厅-昆明医科大学应用基础研究联合专项基金资助项目 (2017FE467-178);

摘要

摘要: 目的探讨关节镜清理结合腓骨近端截骨术对膝内翻骨关节炎的治疗效果.方法选择2012年4月到2016年12月之间在玉溪市人民医院院骨科进行膝内翻骨关节炎手术的患者126例, 按照随机数字的方法分为对照组和观察组, 每个组63名, 对照组患者采用单纯关节镜的方法进行手术, 观察组患者采用关节镜与腓骨截骨术相结合的方法进行手术, 对治疗的效果进行对比.结果 2组患者在进行手术前的美国特种外科医院膝关节评分 (HSS评分) , 疼痛视觉评分 (VAS评分) , 膝关节协会评分 (KSS评分) 差异无统计学意义 (P>0.05) , 手术后6个月, 2组患者的的HSS评分, KSS评分出现了显著的升高, 而VAS评分出现显著的降低, 观察组的升高和降低幅度均显著高于对照组, 差异有统计学意义 (P<0.05) , 2组患者的治疗效果差异有统计学意义 (z=2.632, P<0.05) , 观察组治疗效果优于对照组, 在2组患者的各项不良反应情况中, 差异无有统计学意义 (P>0.05) .结论利用关节镜清理与腓骨近端截骨术进行联合, 对中老人人群进行膝内翻骨关节炎的治疗, 可以改善治疗效果, 值得在临床范围内进行推广.
- 骨性关节炎 /
- 膝内翻 /
- 关节镜 /
- 腓骨近端截骨术
Abstract: Objective To discover the treatment effect of arthroscope combined with proximal humerus osteotomy in Knee inversion osteoarthritis.Me thods From April 2012 to December 2016, 126 cases were diagnosed with knee inversion osteoarthritis in our deparment, then we divided them into two groups randomly, 63 in each group, the control group operated with arthroscope, and the observation group operated with arthroscope combined with proximal humerus osteotomy. The treatment effects of the two groups were compared. Re s ults Two groups of patients' HSS score, VAS score, KSS score before surgery have no statistical significance (P>0.05) . 6 months post-operation, the HSS score and KSS score have significant increase in both groups, while the VAS score has an obviously reduction. The differences between the two groups have statistical significance (P<0.05) , the treatment effects in two groups have statistical significance (P <0.05) , the observation group has better treatment effect than the control group, and in the case of adverse reactions in both groups, there were no statistical significance (P >0.05) . Conclus ion The treatment of middle-aged and elderly people knee inversion osteoarthritis by arthroscope combined with proximal humerus osteotomy could improve the treatment, soit is worth promoting in clinics.
- Osteoarthritis /
- Knee inversion /
- Arthroscope /
- Proximal humerus osteotomy

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