膝关节镜结合腓骨近端截骨术对膝关节内侧间室骨关节炎的疗效  

Clinical observations of medial compartment knee osteoarthritis by proximal fibular osteotomy with arthroscopy

作　　者：佟刚[1] 解强[1] 

机构地区：[1]首都医科大学附属北京同仁医院骨科,100730

出　　处：《中华医学杂志》2016年第43期3508-3510,共3页National Medical Journal of China

摘　　要：目的探讨膝关节镜结合腓骨近端截骨术治疗膝关节内侧间室骨关节炎的疗效。方法回顾2015年8月至2016年3月首都医科大学附属北京同仁医院骨科采用膝关节镜结合腓骨近端截骨术治疗膝关节内侧间室骨关节炎的患者36例，记录并比较术前及术后的疼痛视觉模拟评分（VAS）、美国特种外科医院（HSS）膝关节评分。结果所有患者均获得随访，随访时间3-10个月。HSS评分由术前（56.1±11.1）分增至术后3个月（83.0±5.9）分及末次随访（83.7±3.9）分；VAS评分由术前（7.9±0.8）分降至术后3个月（2.4±0.7）分及末次随访（1.8±0.9）分。术后患者的HSS评分均明显升高、VAS评分均显著降低（P〈0.05）。3例患者出现腓浅神经损伤表现，术后3个月均恢复正常。结论膝关节镜结合腓骨近端截骨术治疗膝关节内侧间室骨关节炎早期疗效满意。ObjectiveTo explore the clinical short-term result of proximal fibular osteotomy with arthroscopy in the treatment of knee osteoarthritis.MethodsFrom August 2015 to March 2016 thirty six patients with medial compartment knee osteoarthritis were treated by proximal fibular osteotomy with arthroscopy in Department of Orthopaedics, Beijing Tongren Hospital, Capital Medical University.The preoperative and postoperative visual analogue scale （VAS） and the hospital for special surgery （HSS） knee score were compared in follow-up.ResultsThe follow-up period was 3 and 10 months.The postoperative HSS knee scoreincreased significantly[（56.1±11.1）score vs（83.0±5.9）, （83.7±3.9）score]（P〈0.05） and the VAS scoredecreased significantly [（7.9±0.8）score vs（2.4±0.7）, （1.8±0.9）score]（P〈0.05） compared with pre-operation.There are 3 cases of superficialperonealnerve injury and recovered 3 months after operation.ConclusionProximal fibular osteotomy with arthroscopy in the treatment of medial compartment knee osteoarthritis can provide satisfactory early effects.

关 键 词：关节炎 膝 关节镜检查 腓骨截骨术 

分 类 号：R687.4[医药卫生—骨科学]