微创腓骨截骨术治疗内侧间室膝骨关节炎的临床疗效观察
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摘要
目的观察微创腓骨截骨术治疗内侧间室膝骨性关节炎的临床疗效。方法回顾性分析我科2017年10月至2018年6月收治的符合纳入标准的膝骨性关节炎病例50例,所有患者均行腓骨截骨术治疗。比较每例患者术前及术后2周、6周、12周、24周的膝关节Lysholm评分。结果随访6个月,50例患者膝关节Lysholm评分,术前评分平均(52.65±13.5)分,术后2周平均(63.83±2.17)分,术后6周平均(76.27±4.63)分,术后12周平均(83.90±6.12)分,术后24周平均(85.97±2.43)分。术前与术后各时间点的膝关节Lysholm评分比较,具有统计学差异(P<0.05)。均未出现严重并发症。结论微创腓骨截骨术治疗内侧间室膝骨关节炎的临床疗效满意。
Objective To observe the clinical curative effect of minimally invasive fibular osteotomy for the treatment of varus knee osteoarthritis. Methods A retrospective analysis was performed on 50 patients with knee osteoarthritis who met the inclusion and were treated in our hospital from October 2017 to June 2018.All patients with fibular osteotomy.The Lysholm score of knee joint before and after the operation 2 weeks, 6 weeks,12 weeks and 24 weeks were recorded and compared. Results 50 patients were followed-up for 6 months.The knee joint Lysholm score,preoperative average score(52.65±13.5) points,after 2 weeks,the average(63.83±2.17) points,after 6 weeks,the average(76.27±4.63) points,after 12 weeks, the average(83.90±6.12)points,after 24 weeks,the average(85.97±2.43)points. The Lysholm score of knee joint before and after the operation was statistically signcant(P<0.05). There were no serious complications. Conclusion Minimally invasive fibular osteotomy is an effective method in the active treatment of varus knee osteoarthritis.
Objective To observe the clinical curative effect of minimally invasive fibular osteotomy for the treatment of varus knee osteoarthritis. Methods A retrospective analysis was performed on 50 patients with knee osteoarthritis who met the inclusion and were treated in our hospital from October 2017 to June 2018.All patients with fibular osteotomy.The Lysholm score of knee joint before and after the operation 2 weeks, 6 weeks,12 weeks and 24 weeks were recorded and compared. Results 50 patients were followed-up for 6 months.The knee joint Lysholm score,preoperative average score(52.65±13.5) points,after 2 weeks,the average(63.83±2.17) points,after 6 weeks,the average(76.27±4.63) points,after 12 weeks, the average(83.90±6.12)points,after 24 weeks,the average(85.97±2.43)points. The Lysholm score of knee joint before and after the operation was statistically signcant(P<0.05). There were no serious complications. Conclusion Minimally invasive fibular osteotomy is an effective method in the active treatment of varus knee osteoarthritis.
引文
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[12]李存祥,贾素华,王健,等.单纯腓骨截断术治疗膝骨关节炎临床研究[J].中国医学创新,2010,7(2):116-117.
[13]于风天,魏杰,王晓东.腓骨近端截骨术与胫骨高位截骨术治疗内翻型膝关节骨关节炎的疗效比较[J].中华老年骨科与康复电子杂志,2016,5(2):101-102.
[2]王岩,陈继营,周勇刚,等.坎贝尔骨科手术学(第12版)第1卷[M].北京:人民军医出版社,2015:436.
[3]Pelletier JP,Mineau F,Ranger P,et al.The increased synthesis of inducible nitric oxide inhibits IL-1ra synthesis by human articular chondrocytes:possible role in osteoarthritic cartilage degradation[J].Osteoarthritis Cartilage,1996,4(1):77-84.
[4]SasaKiT.Yasuda K clinical evulation of the treatment of osteoarthritic knees using designed wedged insole[J].Clin Orthop,1987,221:181.
[5]Lysholm J,Gillquist J.Evaluation of knee ligament surgery results with special emphasis on use of a scoring scale[J].Am J Sports Med,1982,10(3):150-154.
[6]黄洪容.我国社区中老年人膝骨关节炎的发展趋势分析[J].当代医学,2012,12:59-60.
[7]郭世绂.骨科临床解剖学[M].济南:山东科学技术出版社,2000:844-846.
[8]高石军,邵德成,陆搏,等.关节镜下清理胫骨高位截骨骑缝钉固定术治疗膝骨关节炎[J].中国矫形外科杂志,2006,14(3):192-195.
[9]张英泽,李存祥,李冀东,等.不均匀沉降在膝关节退变及内翻过程中机制的研究[J].河北医科大学学报,2014,35(2):218-219.
[10]Jackson JP.Osteotomy for arthritis of the knee[J].J Bone Joint Sure(Br),1958,40:826-836.
[11]B?rjesson M,Weidenhiehn L,Mattsson E,et al.Gait and clinical measurements in patients with knee osteoarthritis after surgery:a prospective5-year follow-up study[J].knee,2005,12(2):121-127.
[12]李存祥,贾素华,王健,等.单纯腓骨截断术治疗膝骨关节炎临床研究[J].中国医学创新,2010,7(2):116-117.
[13]于风天,魏杰,王晓东.腓骨近端截骨术与胫骨高位截骨术治疗内翻型膝关节骨关节炎的疗效比较[J].中华老年骨科与康复电子杂志,2016,5(2):101-102.