原发性膝骨关节炎的治疗

The Treatment Of Primary Osteoarthritis Of Knee

原发性骨关节炎在老年人中发病率较高,而膝骨关节炎又更为常见。作者在也门共和国工作2年中对也门原发性股骨关节炎发病率高的原因进行了分析,并将所遇见之原发性膝骨关节炎病人分为3类,分别给予药物、局封和胫骨上端截骨治疗。对局封病例中,体检时所发现的膝关节周围(多见于膝外上方)的疼痛性“绳索样”物,认为是慢性积累性微小损伤产生的“脂膜炎”,因此用Prednisonlne治疗有效。胫骨上端截骨尤为适合有休息痛,合并膝内、外翻畸形者,因截骨后可降低骨内压和矫正畸形。此类手术简单易行,不需特殊器械,疗效确切。

The morbidity of primary osteoarthritis is higher in the elderly , especially the os-teoarthritis of Knee is the more common. The author has worded in Yemen for 2years and divided the patients with osteoarthritis of knee in to three groups, according to clinicmanifestation. Treatment with medicine, local block or ostedectomy at upper end of tibia was given separately. In the second group the 'cord-like'node is panniculitis which resulted from chronic accumulating minor injury, which was effecitve treated y prednisoplone. The indication of osteoectomy at upper end of tibia is the cases com-plained rest pain associated with or without bowleg or Knock-Knee, because after osteoeetomy can de-crease intraosteous pressure, and also correct the deformity . This kind of operation is easy and sim-ple.the curative effect is satisfactory.