关节镜下清理联合腓骨近1/3段截骨治疗对膝骨关节炎患者的临床效果分析

The Clinical Effect Analysis of Arthroscopic Debridement Combined with Fibular Near 1/3 Osteotomy in the Treatment of Knee Osteoarthritis

目的:分析研究关节镜下清理联合腓骨近1/3段截骨治疗对膝骨关节炎(KOA)患者的临床效果。方法:对93例KOA患者进行研究,根据患者选取的治疗方法进行分组,其中41例患者仅进行关节镜下清理(对照组),52例患者选用关节镜下清理联合腓骨近1/3段截骨治疗(观察组),对比两组患者治疗效果。结果:两组患者治疗前疼痛视觉(VAS)评分、美国特种外科医院(HSS)膝骨关节评分和胫骨角(FTA)变化等相比无统计学差异(P>0.05),经过12个月随访发现,观察组患者VAS评分、HSS评分和FAT变化均优于对照组(t=6.51,9.20,10.61;P<0.05)。结论:KOA患者在临床治疗过程中,采用关节镜下清理联合腓骨近1/3段截骨治疗可以有效缩短患者的治疗时间,提高临床治疗效果,改善患者膝关节功能,值得临床推广。

Objective： To analyze the clinical effect of arthroscopic debridement combined with a-third fibular osteotomy in the treatment of knee osteoarthritis. Methods： 93 cases of KOA patients treated in Sanmenxia Central Hospital were studied and divided into two groups according to the different treatment methods,including 41 cases of patients with only arthroscopic debridement（ control group）,52 patients with arthroscopic debridement combined fibula near 1/3 osteotomy（ observation group）,with the treatment effect of two groups of patients compared. Results： The VAS pain scores,the knee scores in hospitals for special surgery（ HSS） and tibial angle（ FAT） in two groups of patients before the treatment showed no significant difference（ P 0. 05）. After 12-month follow-up,patients in the observation group VAS score,HSS score and FAT were significantly better than the control group（ t = 6. 51 9. 20,10. 61,P 0.05）. There were statistically significant differences. Conclusions： For the KOA patients,the approach of arthroscopic debridement combined fibula proximal 1/3 segment osteotomy can effectively shorten the treatment time and improve the clinical treatment effect with the development of the knee joint function of patients,which is worthy of clinical promotion.