膝关节骨性关节炎致内侧疼痛患者的腓骨截骨治疗效果及对生活质量、关节功能、疼痛评分的影响

Effect of Fibular Osteotomy on Life Quality,Joint Function and Pain Scores of Patients with Medial Pain Caused By Knee Osteoarthritis

目的探讨膝关节骨性关节炎致内侧疼痛患者的腓骨截骨治疗效果及对生活质量、关节功能、疼痛评分的影响。方法选择2022年3月—2023年6月本院收治的54例膝关节骨性关节炎致内侧疼痛患者,随机分为对照组(n=27)和观察组(n=27),对照组采用关节镜下膝关节清理术治疗,观察组采用腓骨截骨术联合关节镜下膝关节清理术治疗。对比两组生活质量、关节功能、疼痛评分。结果观察组生活质量评分方面显著高于对照组,组间差异有统计学意义(P<0.05);观察组VAS评分显著低于对照组,组间差异有统计学意义(P<0.05);观察组HSS评分显著高于对照组,组间差异有统计学意义(P<0.05)。结论膝关节骨性关节炎致内侧疼痛患者在常规关节镜下膝关节清理术治疗的基础上给予腓骨截骨治疗,有利于减轻疼痛感,改善关节功能状况,提升生活质量,临床应用价值较高。

Objective To explore curative effect of fibular osteotomy on life quality,joint function,and pain scores of medial pain caused by knee osteoarthritis.Methods The paper chose 54 patients with medial pain caused by knee osteoarthritis in our hospital from March 2022 to June 2023,and divided them into control group(n=27)and observation group(n=27)randomly.Control group was treated with arthroscopic knee joint clearance surgery,while observation group was fibular osteotomy combined with arthroscopic knee joint clearance surgery.Life quality,joint function,and pain scores were compared between two groups.Results Observation group had significantly higher life quality scores than control group(P<0.05).The VAS scores of observation group were significantly lower than control group(P<0.05).The HSS scores of observation group were significantly higher than control group(P<0.05).Conclusion Fibular osteotomy treatment on the basis of routine arthroscopic knee joint clearance surgery is beneficial for reducing pain,improving joint function,and enhancing life quality of patients with medial pain caused by knee osteoarthritis,which has high clinical application value.