[1]李仕臣,王文革,赵二龙.腓骨近端截骨联合关节镜手术治疗膝关节内侧间室骨关节炎的疗效分析[J].中华老年骨科与康复电子杂志,2017,(04):238-243.[doi:10.3877/cma.j.issn.2096-0263.2017.04.008]
　Li Shichen,Wang Wenge,Zhao Erlong..Analysis of therapeutic effect of proximal fibula osteotomy combined with arthroscopic surgery on medial compartment knee osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(04):238-243.[doi:10.3877/cma.j.issn.2096-0263.2017.04.008]
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腓骨近端截骨联合关节镜手术治疗膝关节内侧间室骨关节炎的疗效分析()
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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:
2017年04期
页码:
238-243
栏目:
“不均匀沉降理论”在骨关节炎中的应用
出版日期:
2017-07-15

文章信息/Info

Title:
Analysis of therapeutic effect of proximal fibula osteotomy combined with arthroscopic surgery on medial compartment knee osteoarthritis
作者:
李仕臣; 王文革; 赵二龙
041000 山西省临汾市第四人民医院骨科
Author(s):
Li Shichen;  Wang Wenge;  Zhao Erlong.
Department of Orthopedics, The Fourth People Hospital, Linfen 041000, China
关键词:
腓骨;  截骨术;  关节镜检查;  膝关节;  骨关节炎
Keywords:
Fibula;  Osteotomy;  Arthroscopy;  Knee joint;  Osteoarthritis
DOI:
10.3877/cma.j.issn.2096-0263.2017.04.008
文献标志码:
A
摘要:
目的 探讨联合应用腓骨近端截骨和关节镜手术治疗膝关节内侧间室骨关节炎的临床效果。方法 回顾性分析山西省临汾市第四人民医院 2013年 2月至 2015年 4月收治且符合纳入标准的膝关节内侧间室骨关节炎患者 26例。根据手术方式分为 A组（行腓骨近端截骨结合关节镜手术，n=16）、 B组（行单纯腓骨近端截骨术，n=10）。随访并比较两组患者术后的满意度、膝关节内侧间隙增宽情况、力线外移情况及膝关节 Lysholm 评分。结果 26 例患者均获得随访，A 组随访时间 6～20 个月，平均（10±5）个月；B组随访时间 6～18个月，平均（9±4）个月。两组患者术后 1、3、6个月各时间段满意度均较高（A组：75%、81.25%、93.75%，B组：60%、60%、80%），组间比较差异无统计学意义；与术前相比，A组与 B组患者术后 6个月时内侧间隙均明显增宽，差异有统计学意义（t=2.991，t=2.664，P＜0.05），下肢力线明显外移，差异均具有统计学意义（t=5.964，t=3.484，P＜0.05），组间比较差异无统计学意义；A组患者术后 1、6个月膝关节 Lysholm评分均较 B组高，差异有统计学意义（F=3.221，F=3.672，P＜0.05），两组均无严重手术并发症。结论 腓骨近端截骨手术治疗膝关节内侧间室骨关节炎能使下肢力线外移、有效缓解膝关节内侧疼痛，联合应用关节镜可进一步改善膝关节关节功能，效果肯定，值得进一步临床推广。
Abstract:
Objective To investigate the clinical outcome of proximal fibula osteotomy combined with arthroscopic surgery in treatment of medial compartment knee osteoarthritis. Methods A retrospective study was performed in 26 cases of compartment knee osteoarthritis from February 2013 to April 2015. according to the surgical method, the enrolled patients were divided into two groups: Group A (n=16) were treated by proximal fibula osteotomy combined with arthroscopic surgery while Group B (n=10) only got proximal fibula osteotomy. Postoperative satisfaction, knee medial broadening gap offshoring, power line and the Lysholm knee scores were compared between two groups. Results All 26 patients were followed up with a time span of 6-20 months (Group A, average 10±5) and 6-18 months (Group B, average 9±4). There were high satisfaction in the two groups at 1, 3, 6 months after operation (Group A: 75%, 81.25%, 93.75%, Group B: 60%, 60%, 80%), compared with the preoperative, the inside clearance of the patients in two groups were significantly broader at 6 months postoperative (t=2.991, t=2.664, P<0.05), the limb alignment was significantly outside moved (t=5.964, t=3.484, P<0.05), while there were no statistically differences between two groups. The patients’ knee joint Lysholm scores in Group A were significantly higher than the Group B at 1, 6 months postoperative, the differences were statistically significant (F=3.221, F=3.672, P<0.05), all the patients in two groups had no serious complications. Conclusion Proximal fibula osteotomy combined with arthroscopic surgery can outside move the limb alignment, relieve pain and improve joint function in patients with medial compartment knee osteoarthritis, which is an effective way for medial compartment knee osteoarthritis, deserves further clinical promotion.

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备注/Memo

备注/Memo:
山西省医学重点学科项目资金（GL201536）
更新日期/Last Update: 2017-07-14