Comparative Analysis of Early Efficacy of Arthroscopy Combined with Open High Tibial Osteotomy in the Treatment of Knee Osteoarthritis

Shu-fa WEI; Jia-hui CHEN; Yi-ming LIANG; Jun-hong LIU; Yi YANG; Biao LI

doi:10.12259/j.issn.2095-610X.S20211224

Volume 42 Issue 12

Dec. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(12): 83-88

Shu-fa WEI, Jia-hui CHEN, Yi-ming LIANG, Jun-hong LIU, Yi YANG, Biao LI. Comparative Analysis of Early Efficacy of Arthroscopy Combined with Open High Tibial Osteotomy in the Treatment of Knee Osteoarthritis[J]. Journal of Kunming Medical University, 2021, 42(12): 83-88. doi: 10.12259/j.issn.2095-610X.S20211224

Citation:

Shu-fa WEI, Jia-hui CHEN, Yi-ming LIANG, Jun-hong LIU, Yi YANG, Biao LI. Comparative Analysis of Early Efficacy of Arthroscopy Combined with Open High Tibial Osteotomy in the Treatment of Knee Osteoarthritis[J]. Journal of Kunming Medical University, 2021, 42(12): 83-88. doi: 10.12259/j.issn.2095-610X.S20211224

Citation:

Shu-fa WEI, Jia-hui CHEN, Yi-ming LIANG, Jun-hong LIU, Yi YANG, Biao LI. Comparative Analysis of Early Efficacy of Arthroscopy Combined with Open High Tibial Osteotomy in the Treatment of Knee Osteoarthritis[J]. Journal of Kunming Medical University, 2021, 42(12): 83-88. doi: 10.12259/j.issn.2095-610X.S20211224

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Comparative Analysis of Early Efficacy of Arthroscopy Combined with Open High Tibial Osteotomy in the Treatment of Knee Osteoarthritis

doi: 10.12259/j.issn.2095-610X.S20211224

Dept. of Orthopaedics，The 1st Affiliated Hospital of Kunming Medical University， Kunming Yunnan 650032，China

Received Date: 2021-10-20
Available Online: 2021-11-17
Publish Date: 2021-12-15

Abstract

Abstract

Objective To analyze the clinical effect of arthroscopy combined with open-wedge high Tibial osteotomy （OWHTO） and open-tibial high osteotomy alone in the treatment of knee osteoarthritis. Methods The clinical data of 34 patients （39 knees） who received surgery for osteoarthritis of the knee in our department from January 2018 to January 2020 were retrospectively analyzed. They were divided into two groups according to the surgical methods. Group A consisted of 17 patients who received arthroscopy combined with OWHTO surgery, and group B consisted of 22 patients who received OWHTO surgery alone. The clinical efficacy of the two groups was compared. Results （1） There were no significant differences in preoperative HSS score, VAS visual simulation score, knee range of motion and Lysholm knee score between the two groups, which makes the two groups comparable. （2） There were significant differences in HSS, VAS and Lysholm knee score between 2 groups 3 days and 1 month after surgery, and group A was higher than group B, with statistical significance （P < 0.05）; however, there were no significant differences in HSS, VAS score, Lysholm knee score at 3 months, 6 months and 12 months postoperatively between the two groups. There was no significant difference in knee joint range of motion between the two groups 3 days, 1 month, 3 months, 6 months and 12 months after operation. Conclusion Arthroscopy combined with open tibial high osteotomy is more effective than open tibial high osteotomy alone in the treatment of early knee osteoarthritis in terms of pain relief, and there is no significant difference in the long-term clinical efficacy.
- Knee,
- Osteoarthritis,
- Osteotomy,
- Tibia,
- Knee arthroscopy

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References(26)

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