不同方法治疗膝骨性关节炎的疗效比较

Comparison of the Effects of Different Methods on Knee Osteoarthritis

目的探讨单髁置换术与胫骨高位截骨术治疗膝骨性关节炎的疗效比较。方法选择2018年1月—2019年10月在我院治疗的膝骨性关节炎患者40例作为研究对象,随机将患者分为对照组和研究组,对照组患者选择单髁置换术进行治疗,研究组患者选择胫骨高位截骨术治疗,比较两组患者的临床治疗效果。结果两组膝骨性关节炎患者采用单髁置换术与胫骨高位截骨术治疗后,两组患者的Lysholm膝关节评分以及Tegner膝关节运动评分无明显差异(P>0.05),但评分较治疗前均有明显的提高。结论单髁置换术与胫骨高位截骨术两种治疗方式对膝骨性关节炎患者均有良好的治疗效果,手术方式的选择应根据患者的具体情况进行选择。

Objective To compare the curative effects of unicondylar replacement and high tibial osteotomy in the treatment of knee osteoarthritis.Methods 40 patients with knee osteoarthritis treated in our hospital from January 2018 to October 2019 were selected as research objects.The patients were randomly divided into control group and research group.The control group patients were treated with unicondylar replacement,and the research group patients were treated with high tibial osteotomy.The clinical therapeutic effects of the two groups were compared.Results After the two groups of knee osteoarthritis patients were treated with unicondylar replacement and high tibial osteotomy,there was no significant difference in Lysholm knee joint score and Tegner knee joint motion score between the two groups(P>0.05),but the score was significantly improved compared with that before treatment.Conclusion Both unicondylar replacement and high tibial osteotomy have good therapeutic effects on knee osteoarthritis patients,and the choice of surgical methods should be based on the specific conditions of patients.