膝关节软骨损伤给予自体骨软骨移植术治疗的效果分析  

Effect of Autologous Osteochondral Grafting in the Treatment of Knee Articular Cartilage Injury

作　　者：陈书爱[1] Chen Shu-ai(First Department of Orthopedics,Puyang People's Hospital,Puyang 475000)

机构地区：[1]濮阳市人民医院骨一科,濮阳457000

出　　处：《数理医药学杂志》2019年第3期346-347,共2页Journal of Mathematical Medicine

摘　　要：目的:分析膝关节软骨损伤给予自体骨软骨移植术治疗的效果。方法:将70例(112膝)膝关节软骨损伤患者根据治疗方法分为两组,以行微骨折术修复的34例(54膝)为对照组,以行自体骨软骨移植术治疗的36例(58膝)为观察组,分析两组治疗效果。结果:术后1个月、6个月时,两组膝关节功能评分及恢复优良率组间均无明显差异(P>0.05),术后12个月观察组两指标均明显高于对照组(P<0.05)。两组切口均一期愈合,对照组并发症发生率5.88%,观察组无并发症,两组差异不显著(P>0.05)。结论:自体骨软骨移植术对膝关节软骨损伤有显著疗效,可有效改善患者膝关节功能,且不易造成并发症。Objective:To analyze the effect of autologous osteochondral grafting in the treatment of knee articular cartilage injury.Methods:70 cases(112 knees)of the knee articular cartilage injury patients were divided into two groups according to the treatment methods,control group included 34 cases(54 knees)were treated with microfracture repair,observation group included 36 cases(58 knees)were treated with autologous osteochondral grafting.The therapeutic effects of the two groups were analyzed.Results:1 month and 6 months after surgery,two groups of knee joint function score and recovery rate had no significant difference(P>0.05),12 months after surgery,two indexes in the observation group was obviously higher than that of control group(P<0.05).The incisions of two groups were all healing,and the complication rate of the control group was 5.88%.There were no complications in the observation group.The difference between the two groups was not significant(P>0.05).Conclusion:Autologous osteochondral grafting has significant effect on knee articular cartilage injury and can effectively improve the function of the knee joint and is not easy to cause complications.

关 键 词：膝关节软骨损伤 自体骨软骨移植术 微骨折术修复 

分 类 号：R684[医药卫生—骨科学]