Open Access Article
International Journal of Clinical Research. 2022; 6: (8) ; 116-118 ; DOI: 10.12208/j.ijcr.20220378.
Clinical efficacy of high tibial osteotomy combined with arthroscopic surgery for medial knee osteoarthritis
胫骨高位截骨与关节镜手术联合治疗膝关节内侧骨关节炎的临床疗效
作者:
郭艾军 *,
冯军宇
山西省阳泉煤业集团总医院 山西阳泉
*通讯作者:
郭艾军,单位:山西省阳泉煤业集团总医院 山西阳泉;
发布时间: 2022-09-14 总浏览量: 373
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摘要
目的 深入分析胫骨高位截骨与关节镜手术联合治疗膝关节内侧骨关节炎的临床疗效。方法 挑选2019年到2021年期间于我院骨科接受治疗的80例行膝关节炎症修复手术患者作为此次研究的观察对象,采用奇偶数分配的方式分为两个组别。两组分别采用不同的治疗方式,从术后膝关节评分、临床疗效、日常活动能力、炎症因子水平、生活质量综合评定问卷以及术后并发症情况等几个方面进行对比。结果 经过治疗后,参照组术后3天到1个月膝关节评分高于研究组,术后三至12月膝关节评分无明显差异,日常活动能力评分均高于治疗前,两组患者疼痛评分和炎症因子水平均低于治疗前,两组膝关节活动度并无明显差异,研究组的生命质量综合评价和术后病人并发症率均小于参照组,因此研究组术后的疗效较好P<0.05。结论 给予患者以单纯关节镜处理方法后在术后早期效果显著,但后期对二组膝关节评分结果并无差别,如采用胫骨高位截骨再结合关节镜处理的方法可使病人在术后减轻膝盖痛苦,从而降低术后并发症的出现,日常活动能力明显增强,由此可知,胫骨高位截骨同时行关节镜处理膝关节骨性关节炎治疗,其整体效果显著。
关键词: 胫骨;胫骨高位截骨术;关节镜;膝关节;膝关节骨性关节炎
Abstract
Objective: To analyze the clinical efficacy of high tibial osteotomy combined with arthroscopic surgery in the treatment of medial knee osteoarthritis. Methods: A total of 80 patients undergoing knee inflammatory repair surgery treated in the Department of Orthopedics of our hospital from 2019 to 2021 were selected as the observation objects of this study, and were divided into two groups by odd-even allocation method. The two groups were treated with different treatment methods, and the postoperative knee score, clinical efficacy, daily activity ability, inflammatory factor level, quality of life comprehensive assessment questionnaire and postoperative complications were compared. Results: after treatment, the control group after 3 days to 1 month knee score higher than that of group, there was no significant difference in three to twelve month knee score, daily activity ability score were higher than before the treatment, two groups of patients with pain score and inflammatory factor levels are lower than before the treatment, two groups of knee joint motion, there is no obvious difference, the team of quality comprehensive evaluation and postoperative patients with life The disease rate of the study group was lower than that of the reference group, so the postoperative efficacy of the study group was better (P<0.05). Conclusion : Gives pure after arthroscopic treatment to the patients in the early postoperative effect is remarkable, but the result of the two groups knee score late and indifference, if use high tibia bone cutting processing method of combined with arthroscopy can make patients relieve knee pain after surgery, thereby reducing the occurrence of postoperative complications, the more daily activities, therefore, high tibia bone cutting line arthroscopic treatment at the same time The overall effect of knee osteoarthritis treatment is remarkable.
Key words: Tibia; High Tibial Osteotomy; Arthroscopy; The Knee Joint. Osteoarthritis of The Knee
参考文献 References
[1] 魏树发,陈佳晖,梁一鸣等.关节镜联合开放胫骨高位截骨术治疗膝关节骨性关节炎的早期疗效对比.昆明医科大学学报[J]. 2021,42(12):83-88.
[2] 张猛,敖阳,郑红艳.胫骨高位截骨术联合关节镜下膝关节清理术治疗老年膝关节内侧单间室骨性关节炎患者的临床效果广西医学[J]. 2021,43(19):2288-2292
[3] 苏甲,郭旗.胫骨高位截骨术联合关节镜下骨髓刺激术治疗膝关节骨性关节炎的临床观察.医药论坛杂志[J]. 2020,41(10):103-105.
[4] 马亮,蔡余力,刘金豹.关节镜联合胫骨高位截骨术治疗膝关节内侧间室骨性关节炎腹腔镜外科杂志[J]. 2020,25(09):708-711.
[5] 张润杰.胫骨高位截骨联合关节镜治疗内侧膝关节骨性关节炎的近期临床效果[J]. 山西医科大学山西省:41-45.
[6] 刘日,谢坤南,杨山辉.关节镜下清理联合胫骨高位截骨术治疗膝关节骨性关节炎的疗效分析中国骨与关节损伤杂志[J]. 2020,35(02):185-187.
[7] 田振江,王竣,陈博鉴.关节镜联合内侧开放式胫骨高位截骨术治疗膝关节骨性关节炎合并半月板损伤[J].中国中西医结合学会会议论文集:392-394.
[8] 陈涛,张骏,潘沨.关节镜手术合胫骨高位截骨治疗内侧膝关节骨关节炎的临床研究现代生物医学进展[J]. 2022,22(02):364-368.
[9] 韩廷成,祁兆建,陈大志等.膝关节镜结合外侧闭合式胫骨高位截骨治疗膝骨性关节病内侧间隙疼痛的临床效果吉林医学[J]. 2021,42(11):2582-2586.
[10] 秦春耀,红梅,胡志永等.关节镜清理联合胫骨高位截骨治疗膝关节内侧间室骨关节炎的临床疗效分析.智慧健康[J]. 2021,7(25):66-68.
引用本文
郭艾军, 冯军宇, 胫骨高位截骨与关节镜手术联合治疗膝关节内侧骨关节炎的临床疗效[J]. 国际临床研究杂志, 2022; 6: (8) : 116-118.