关节镜清理股骨远端截骨治疗膝骨关节炎  

Arthroscopic debridement combined with distal femur osteotomy for treatment of knee osteoarthritis//FU

作　　者：傅一峰 冯炜 杨雷 俞立新 张常贵 FU Yi-feng;FENG Wei;YANG Lei;YU Li-xin;ZHANG Chang-gui(The Third Department of Orthopaedics,The 72nd Group Army Hospital of PLA,Huzhou 313000,China)

机构地区：[1]陆军第七十二集团军医院骨三科,浙江湖州313000

出　　处：《中国矫形外科杂志》2024年第23期2192-2195,共4页Orthopedic Journal of China

基　　金：全军医药卫生科研基金课题项目(编号:14MS007)。

摘　　要：【目的】评估关节镜清理股骨远端截骨治疗膝骨关节炎的临床疗效。【方法】回顾性分析2019年2月--2022年2月本科收治的56例膝骨关节炎患者的临床资料。评价临床及影像结果。【结果】所有患者均顺利完成手术,术中无神经血管损伤等严重并发症。随访时间平均(21.6±2.7)个月,与术前相比,末次随访时,患者VAS评分【(6.2±0.9),(0.5±0.5),P=0.003】显著减少,KSS评分【(36.4±8.1),(81.4±1.1),P<0.001】、膝ROM【(130.1±0.3),(139.3±0.4),P<0.001】显著增加。影像方面,与术前相比,末次随访时,患者股颈角(femorotibial angle,FTA)【(80.6±0.4)(87.4±0.3),P=0.002】、股骨远端外侧机械角(mechanical lateral distal femoral angle,mLDFA)【(167.7±2.8),(176.8±0.2),P<0.001】均显著增加,所有患者均无骨不连、钢板断裂等并发症。【结论】关节镜清理股骨远端截骨治疗膝骨关节炎,可以减轻患者症状,延缓骨性关节炎的进展。【Objective】To evaluate the clinical outcome of arthroscopic debridement combined with distal femoral osteotomy for knee osteoarthritis.【Methods】A retrospective study was done on 56 patients who received abovesaid treatment for knee osteoarthritis in our department from February 2019 to February 2022.The clinical and imaging data were evaluated.【Results】All patients had operation performed successfully,with no serious complications,such as neurovascular injury,and followed up for a mean of(21.62.7)months.Compared with the preoperative results,VAS score significantly reduced【(6.2±0.9),(0.5±0.5),P=0.003】,KSS score【(36.4±8.1),(81.4±1.1),P<0.001】,knee R0M【(130.1±0.3)°,(139.3±0.4)°,P<0.001】increased significantly at the last follow-up.In term of imaging,the patients had femorotibial angle(FTA)【(80.6±0.4)°,(87.4±0.3)°,P=0.002】,mechanical lateral distal femoral angle(mLDFA)【(167.7±2.8)°,(176.8±0.2)°,P<0.001】significantly increased at the last follow-up compared with those preoperatively,with no complications,such as bone nonunion or plate fracture found in anyone of them.【Conclusion】Arthroscopic debridement combined with distal femoral osteotomy for the treatment of knee osteoarthritis can relive the symptoms and delay the progression of osteoarthritis.

关 键 词：膝关节镜 股骨远端截骨 膝关节外翻畸形 膝关节单间室骨关节炎 

分 类 号：R684.3[医药卫生—骨科学]