[1]杨程,张彦,朱铁,等.腓骨截骨与运动疗法联合治疗内翻型膝骨关节炎效果分析[J].中华老年骨科与康复电子杂志,2023,(01):28-32.[doi:10.3877/cma.j.issn.2096-0263.2023.01.006]
　Yang Cheng,Zhang Yan,Zhu Tie,et al.Clinical observations of medial compartment knee osteoarthritis by proximal fibular osteotomy withexercise therapy[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2023,(01):28-32.[doi:10.3877/cma.j.issn.2096-0263.2023.01.006]
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腓骨截骨与运动疗法联合治疗内翻型膝骨关节炎效果分析()
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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:
2023年01期
页码:
28-32
栏目:
“不均匀沉降理论”在骨关节炎中的应用
出版日期:
2023-02-05

文章信息/Info

Title:
Clinical observations of medial compartment knee osteoarthritis by proximal fibular osteotomy withexercise therapy
作者:
杨程; 张彦; 朱铁; 张伟; 刘李继; 赵紫雷; 任乐夫
414000 湖南，岳阳市中心医院运动医学科，岳阳市三维步态力学分析重点实验室
Author(s):
Yang Cheng;  Zhang Yan;  Zhu Tie;  Zhang Wei;  Liu Liji;  Zhao Zilei;  Ren Lefu.
Department of Orthopaedics, Yueyang Central Hospital, Three-dimensional Gait Mechanics Analysis Key Laboratory, Yueyang 414000, China
关键词:
关节炎; 膝;  运动疗法;  腓骨截骨术;  步态分析
Keywords:
Osteoarthritis;  knee;  Exercise therapy;  Fibular osteotomy;  Gait analysis
DOI:
10.3877/cma.j.issn.2096-0263.2023.01.006
文献标志码:
A
摘要:
目的 探讨腓骨截骨与运动疗法联合治疗内翻型膝骨性关节炎的疗效评估。方法 回顾性收集2016年1月至2018年1月岳阳市中心医院骨关节科，采用腓骨截骨与运动疗法治疗膝骨性关节炎伴内翻膝的患者30例，男性5例，女性25例，平均年龄（62±7）岁。于术后4个月、8个月进行随访比较术前及术后的疼痛视觉模拟评分（VAS）、美国特种外科医院（HSS）膝关节评分，膝关节步态改变。结果 30例患者获得随访，随访时间（1.4±0.3）年。HSS评分由术前（50.2±7.8）分增至术后4个月（78.2±6.3）分，术后8个月（82.1±5.5）分；VAS评分由术前（6.8±1.2）分降至术后4个月（3.2±1.1）分，术后8个月（2.5±0.8）分。术后2次随访HSS评分均明显升高、VAS评分均显著降低（P＜0.05）。关节角度参数术前屈伸角度-5°～45°，内外翻转角度-8°～18°，内外旋转角度-5°～20°；8个月时屈伸角度-4°～58°，内外翻转角度-7°～13°，内外旋转角度-3°～10°。术后随访发现膝关节屈伸、内外翻、内外旋各角度与正常相比逐步改善，具有统计学意义（P＜0.05）。结论 腓骨截骨与运动疗法治疗膝骨性关节炎伴内翻膝早期疗效满意，应用步态分析得出的量化指标为骨性关节炎的诊治及评估提供客观依据,值得临床应用及参考。
Abstract:
Objective To evaluate the efficacy of fibula osteotomy and exercise therapy in treating knee osteoarthritis with internal knee turning. Methods From January 2016 to January 2018, used fibula osteotomy and exercise therapy to treat 30 patients with knee osteoarthritis in the Department of Osteoarthritis, Yueyang Central Hospital. Follow-up comparisons were performed after surgery. The visual analogue scale (VAS) andthe hospital forspecial surgery (HSS) kneescoreandthe gait changes of the knee jointwerecomparedinfollow-up. Results All patients were follow-up, with HSS score increased from preoperative (50.2±7.8) to 4 months (78.2±6.3), 8 months (82.1±5.5) and VAS score from preoperative (6.8±1.2) to 4 months (3.2±1.1) and 8 months (2.5±0.8).HSS scores were significantly higher after two postoperative follow-up and VAS scores were significantly reduced (P<0.05). The joint angle parameters range from preoperative flexion and extension angle -5°-45°, internal and external flip angle -8°-18°, internal and external rotation angle -5°-20°, flexion and extension angle at 8 months -4°-58°, inside and outside turning angle -7°-13°. Inside and outside rotation angle -3°-10°. Postoperative follow-up gradually improved knee flexion and extension and rotation compared with normal (P<0.05). Conclusion The early efficacy of fibula osteotomy and exercise therapy in treating knee osteoarthritis with internal knee turning is satisfactory. The quantitative indicators obtained by applying gait analysis provide an objective basis for the diagnosis, treatment and evaluation of osteoarthritis, which is worthy of clinical application and reference.

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备注/Memo

备注/Memo:
基金项目：湖南省临床医疗技术创新引导项目（2021SK52803）；岳阳市2017年度科技研究与开发项目
更新日期/Last Update: 2023-03-30