关节镜下松解深层内侧副韧带联合HTO治疗对膝内侧间室骨关节炎患者膝关节活动情况的影响研究  

Study on the Effect of Arthroscopic Release of Deep Medial Collateral Ligament Combined with HTO Treatment on Knee Joint Mobility in Patients with Osteoarthritis of the Medial Intercalary Compartment of the Knee

作　　者：周全 李伟伟 叶昊 朱帆 ZHOU Quan;LI Weiwei;YE Hao;ZHU Fan(Department of Orthopedics,Jingshan People's Hospital,Jingshan,Hubei Province,431800 China;Department of Pediatrics,Jingshan People's Hospital,Jingshan,Hubei Province,431800 China;Department of Infectious Diseases,Jingshan People's Hospital,Jingshan,Hubei Province,431800 China)

机构地区：[1]京山市人民医院骨科,湖北京山431800 [2]京山市人民医院儿科,湖北京山431800 [3]京山市人民医院感染性疾病科,湖北京山431800

出　　处：《中外医疗》2024年第16期47-50,共4页China & Foreign Medical Treatment

摘　　要：目的 分析关节镜下松解深层内侧副韧带联合胫骨高位截骨术(High Tibial Osteotomy, HTO)治疗对膝内侧间室骨关节炎患者膝关节活动情况的影响。方法 回顾性选取京山市人民医院于2021年5月—2023年5月收治的106例膝内侧间室骨关节炎患者的临床资料,依治疗方式不同分为研究组(关节镜下松解深层内侧副韧带联合胫骨高位截骨术)和对照组(关节镜下松解浅层内侧副韧带联合胫骨高位截骨术),各53例。对比两组临床疗效、膝关节功能评分及并发症发生情况。结果 研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。术后1、3个月,研究组膝关节功能评分为(62.66±1.32)分、(82.65±2.31)分,高于对照组的(59.76±2.13)分、(76.54±3.11)分,差异有统计学意义(t=8.425、11.482,P均<0.05)。两组并发症发生率对比,差异无统计学意义(P>0.05)。结论 针对膝内侧间室骨关节炎患者,于HTO术中增加关节镜下松解深层内侧副韧带,可改善膝关节功能,疗效更佳。Objective To analyze the effect of arthroscopic release of deep medial collateral ligament combined with high tibial osteotomy(HTO)treatment on knee joint mobility in patients with osteoarthritis of the medial intercalary compartment of the knee.Methods The clinical data of 106 patients with osteoarthritis of the medial intercalary compartment of the knee admitted to Jingshan People's Hospital from May 2021 to May 2023 were retrospectively selected.They were divided into the study group(arthroscopic release of deep medial collateral ligament combined with high tibial osteotomy)and the control group(arthroscopic release of superficial medial collateral ligament combined with high tibial osteotomy)according to the different treatment modalities,with 53 cases each.The two groups were compared in terms of clinical efficacy,knee function score and complications.Results The total effective rate of treatment in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05). At 1 and 3 months after surgery, the knee function scores of the study group were (62.66±1.32) points and (82.65±2.31) points, which were higher than (59.76±2.13) points and (76.54±3.11) points of the control group, and the differences were statistically significant (t=8.425, 11.482, both P<0.05). Comparison of complication rates between the two groups showed no statistically significant difference (P>0.05).Conclusion For patients with osteoarthritis of the me dial intercalary compartment of the knee, the addition of arthroscopic release of the deep medial collateral ligament during HTO improves the function of the knee joint with better efficacy.

关 键 词：胫骨高位截骨术 关节镜 深层内侧副韧带 膝内侧间室骨关节炎 

分 类 号：R687.4[医药卫生—骨科学]