关节镜清理术联合功能锻炼在膝关节屈曲畸形患者中的应用分析

Application analysis of arthroscopic debridement combined with functional training in patients with knee flexion deformity

目的探讨关节镜清理术联合功能锻炼治疗膝关节屈曲畸形的临床效果。方法选取42例膝关节屈曲畸形患者,并利用随机数字表法分成两组。其中对照组21例接受单纯关节镜清理术治疗;试验组21例在对照组手术治疗基础上联合系统性功能锻炼。比较两组治疗后的疗效、VAS及WOMAC评分差异。结果试验组患者的临床疗效优于对照组(P<0.05)。术后3 d、7 d、14 d,试验组VAS评分均低于对照组(均P<0.05);两组术后1 d、术后3个月VAS评分差异均无统计学意义(均P>0.05)。术后1 d,两组WOMAC评分差异无统计学意义(P>0.05);术后3 d、7 d、14 d及术后3个月,试验组WOMAC评分均低于对照组(均P<0.05)。结论关节镜清理术联合功能锻炼可有效改善膝关节屈曲畸形引起的膝关节功能障碍,减轻术后早期疼痛,利于患者功能恢复。

Objective To explore the clinical effects of arthroscopic debridement combined with functional training in the treatment of knee flexion deformity.Methods A total of 42 knee flexion deformity patients were selected,and they were assigned to two groups.Of them,the control group(21 cases)received simple arthroscopic debridement for treatment,based on which the trial group(21 cases)combined with systematic functional training.The differences in efficacy,VAS and WOMAC scores after treatment were compared between the two groups.Results Patients in the trial group obtained a superior clinical efficacy,and lower VAS scores 3 days,7 days,and 14 days after operation as compared with the control group(all P<0.05).There were no statistically significant differences between VAS scores 1 day and 3 months after operation(all P>0.05).There were no statistically significant differences in WOMAC scores in both groups 1 day after operation(P>0.05);however,the scores mentioned above 3,7,14 days and 3 months after operation were lower in the trial group than in the control group(all P<0.05).Conclusion Arthroscopic debridement combined with functional training can effectively improve knee dysfunction induced by knee flexion deformity,alleviate postoperative pain in the early stage,which is conducive to functional recovery in patients.