[1]白玉,王爱国,骆晓飞.腓骨近端截骨术治疗内侧间室性膝关节骨关节炎的疗效分析与机制探讨[J].中华老年骨科与康复电子杂志,2016,(03):161-165.[doi:10.3877/cma.j.issn.2096-0263.2016.03.007]
　Bai Yu,Wang Aiguo,Luo Xiaofei.The effect and mechanism of proximal fibular osteotomy in treating medial compartment osteoarthritis of the knee[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(03):161-165.[doi:10.3877/cma.j.issn.2096-0263.2016.03.007]
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腓骨近端截骨术治疗内侧间室性膝关节骨关节炎的疗效分析与机制探讨()
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2016年03期
页码:
161-165
栏目:
“不均匀沉降理论”在骨关节炎中的应用
出版日期:
2016-08-05

文章信息/Info

Title:
The effect and mechanism of proximal fibular osteotomy in treating medial compartment osteoarthritis of the knee
作者:
白玉; 王爱国; 骆晓飞
450052 郑州市骨科医院下肢骨科
Author(s):
Bai Yu;  Wang Aiguo;  Luo Xiaofei
Department of Lower Limb Orthopedics, Zhengzhou Hospital, Zhengzhou 450052, China
关键词:
膝关节; 骨关节炎; 腓骨; 截骨术
Keywords:
Knee joint;  Osteoarthritis;  Fibula;  Osteotomy
DOI:
10.3877/cma.j.issn.2096-0263.2016.03.007
文献标志码:
A
摘要:
目的　观察应用腓骨近端截骨术治疗内侧间室性膝关节骨关节炎（KOA）的疗效，并探讨其机制。 方法　回顾性分析 2014 年 1 月至 2015 年 4 月郑州市骨科医院采用腓骨近端截骨术治疗内侧间室性 KOA 的患者 23 例。分别于术前、术后 1 个月、术后 6 个月、术后 1 年随访患者的术后股胫角（FTA）、疼痛视觉模拟评分（VAS）、美国特种外科医院（HSS）膝关节评分、西安大略和麦克马斯特大学骨关节炎指数（WOMAC）评分、患者满意度及并发症发生情况。 结果　23 例患者均获得随访，随访时间 7 ～ 18 个月，平均随访 13 个月。与术前相比，术后 1 个月时，患者 FTA、 VAS、 WOMAC 评分降低， HSS 评分明显提高，差异均有统计学意义（P ＜ 0.05）。至末次随访，患者 FTA、 VAS 评分、 WOMAC 评分较术前、术后 1 个月均降低，差异有统计学意义（P ＜ 0.05）。 HSS 评分较术前、术后 1 个月增高，差异有统计学意义（P ＜ 0.05）。术后 1 例患者出现腓浅神经支配区麻木，观察后症状消失。 2 例患者出现切口部位疼痛，其余均未出现并发症。患者总体满意率 87%。 结论　腓骨近端截骨术可有效缓解 KOA 症状，改善膝关节 KOA 下肢内翻力线及功能，获得满意疗效。
Abstract:
Objective To observe the effect and mechanism of proximal fibula osteotomy in treating medial compartment knee osteoarthritis (KOA). Methods From January 2014 to April 2015, 23 medial compartment KOA treated with proximal fibula osteotomy were administered in zhengzhou orthropedic hospital. All index were performed before surgery and 1 month, 3 months, 6months and 1 year after surgery. All follow-up data i.e.the femoral and tibial angle (FTA), VAS, HSS, WOMAC of the patients were compared with the corresponding preoperative data respectively. Results All patients were well folloewed up for 7-18 months, with an average of 13 months. Compared to the preoperative data, the FTA, VAS, WOMAC were decreased while HSS was signifcantly improved at 1 month follow-up, the differences were statistically signifcant (P<0.05). At the end of follow-up, the FTA, VAS and WOMAC score were decreased, and the HSS were increased, comparing to the pre-operation and 1 month after surgery, the differences were statistically signifcant (P<0.05). One patient suffered superfcial peroneal nerve paralysis and gradually disappeared. Two patients suffered incision pain. The overall patients’ satisfaction rate was 87%. Conclusion Proximal fibular osteotomy can effectively alleviate the symptoms of medial compartment osteoarthritis of the knee, achieve the satisfactory effection on improving the lower extremity varus mechanical axis.

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备注/Memo

备注/Memo:
基金项目：郑州市科技惠民计划（153PKJHM055）
更新日期/Last Update: 2017-04-01