腓骨截骨联合关节清理术治疗膝内侧间室骨性关节炎  

The fibula osteotomy and joint clearance was used to treat osteoarthritis of the medial knee

作　　者：杨慧文[1] 田会军[1] 何敏 彭炳龙[1] 贾芝和[1] 胡华平 潘伟[1] YANG Hui-wen;TIAN Hui-jun;HE Min(Pingxiang people's hospital,Pingxiang 337000,Jiangxi)

机构地区：[1]萍乡市人民医院,江西萍乡337000

出　　处：《安徽卫生职业技术学院学报》2018年第6期28-29,共2页Journal of Anhui Health Vocational & Technical College

基　　金：江西省萍乡市科技局计划课题(编号:2017NS017)

摘　　要：目的:探讨腓骨截骨联合关节清理术治疗早、中期膝内侧间室骨性关节炎的疗效。方法:收集医院收治的符合纳入标准及排除标准的早、中期膝内侧间室骨性关节炎患者60例,其中30例患者单纯行腓骨截骨,30例患者行腓骨截骨联合关节清理术,记录并比较两组患者术前及术后随访的视觉模拟评分(VAS)、美国特种外科医院膝关节评分(HSS)、膝关节评分及膝关节协会评分(KSS)。结果:术后,腓骨截骨+关节镜清理组及单纯腓骨截骨组患者的HSS、KSS评分均高于术前,VAS评分均低于术前,差异均有统计学意义(P<0.05)。结论:腓骨截骨+关节清理术治疗早、中期膝内侧间室骨性关节炎疗效显著,并优于单纯腓骨截骨术,是治疗膝内侧间室骨性关节炎的有效方法。Objective:To explore the efficacy of fibula osteotomy + joint clearance for early and middle knee osteoarthritis. Methods:collected in hospital were met inclusion criteria and exclusion criteria of the early and mid knee medial compartment osteoarthritis 60 patients, 30 cases of simple line of fibula bone cutting, 30 routine fibula bone cutting and joints, clean up, record and compare the two groups of preoperative and postoperative followup visual analogue scale(VAS), the U.S. special surgical hospital knee score(HSS), knee score and knee society score(KSS). Results: postoperative and fibula bone cutting and arthroscopy cleaning group and simple fibular bone cutting HSS, KSS score were higher than in patients with preoperative, VAS scores were lower than that of preoperative, differences were statistically significant(P<0.05).Conclusion: the fibula bone cutting and joint cleaning treatment early, mid knee medial compartment osteoarthritis curative effect is distinct, and is superior to the pure fibula osteotomy, are effective in the treatment of knee medial compartment osteoarthritis method.

关 键 词：腓骨截骨 关节镜清理 骨性关节炎 

分 类 号：R684.3[医药卫生—骨科学]