[1]王英明 孔荣 禹德万 朱晨 官建中 周建生.腓骨近端截骨联合关节镜下膝关节清理治疗膝关节内侧间室骨关节炎的临床疗效[J].中华老年骨科与康复电子杂志,2016,(01):21-25.[doi:10.3877/cma.j.issn.2096-0263.2016.01.005]
　Wang Yingming,Kong Rong,Yu Dewan,et al.Effect of proximal fibular osteotomy combined with arthroscopic debridement on medial compartment knee osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(01):21-25.[doi:10.3877/cma.j.issn.2096-0263.2016.01.005]
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腓骨近端截骨联合关节镜下膝关节清理治疗膝关节内侧间室骨关节炎的临床疗效()
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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01期
页码:
21-25
栏目:
临床论著
出版日期:
2016-02-05

文章信息/Info

Title:
Effect of proximal fibular osteotomy combined with arthroscopic debridement on medial compartment knee osteoarthritis
作者:
王英明 孔荣 禹德万 朱晨 官建中 周建生
安徽省立医院骨一科；蚌埠医学院附属医院
Author(s):
Wang Yingming;  Kong Rong;  Yu Dewan;  Zhu Chen;  Guan Jianzhong;  Zhou Jiansheng
The First Dept of Orthopaedics Surgery, Anhui Provincial Hospital, Hefei 230001, China; Department of Orthopaedic Surgery, Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China
关键词:
骨关节炎; 膝; 　腓骨; 　截骨术; 　关节镜检查
Keywords:
Osteoarthritis;  knee; 　Fibula; 　Osteotomy; 　Arthroscopy
DOI:
10.3877/cma.j.issn.2096-0263.2016.01.005
摘要:
目的　比较腓骨近端截骨联合关节镜下膝关节清理与单纯关节镜下膝关节清理术治疗膝关节内侧间室骨关节炎的疗效。方法　回顾性分析2013 年1 月至2015 年6 月收治的符合纳入及排除标准的膝关节骨关节炎患者17 例，其中单纯行关节镜下关节腔清理术5 例（A 组），行腓骨近端截骨联合关节镜下膝关节清理12 例（B 组）。A组男2 例，女3 例，年龄55 ～ 65 岁，平均（60±4）岁。B 组男4 例，女8 例，年龄56 ～ 77 岁，平均（64±6）岁。分别术后3 d、1 个月、3 个月、6 个月及之后每半年随访并比较两组患者的疼痛视觉模拟评分（visual analogue score，VAS）、美国特种外科医院（hospital for special surgery，HSS）膝关节评分及胫股角（femur-tibia angle，FTA）的变化。结果　17 例患者均获得满意随访，随访时间3 ～ 12 个月，平均（5.9±1.0）个月。术前A 组与B 组的VAS 评分、HSS 评分及FTA 比较，差异均无统计学意义（t=1.050，t=0.449，t=0.686，P ＞ 0.05），术后A 组患者的VAS 评分及FTA 高于B 组，HSS 评分低于B 组，差异具有统计学意义（t=5.219， t=3.447，t=11.199，P ＜ 0.05）。结论　腓骨近端截骨联合关节镜下膝关节清理术治疗膝关节内侧间室骨关节炎患者的效果优于单纯关节镜下膝关节清理术，术后可明显降低患者疼痛，改善膝关节结构及功能，值得临床推广。
Abstract:
Objective　To investigate the effect of proximal fibular osteotomy combined with arthroscopic debridement in the treatment of medial compartment knee osteoarthritis. Methods　From January 2013 to June 2015, 17 patients who suffered medial compartment knee osteoarthritis were allocated into two groups: group A (n=5) and group B (n=12). Patients in group A received arthroscopic debridement while group B got additional proximal fibular osteotomy. Visual analogue score(VAS), hospital for special surgery (HSS) knee score and change of femur-tibia angle (FTA)were measured separately and comparsion was done between two groups. Results　All 17 cases got satisfied follow-up for 3-12 months, mean time was (5.9±1.0) months. There were no statistically differences in VAS, HSS and FTA between group A and group B preoperatively respectively (t=1.050, t=0.449, t=0.686, P>0.05). While postoperatively, the VAS and FTA of group A was higher than that in group B, the HSS of group A was lower than that in group B, the differences was statictically significant (t=5.219, t=3.447, t=11.199, P<0.05). Conclusions Proximal fibular osteotomy combined with arthroscopic debridement was a more effective treatment for medial compartment knee osteoarthritis than single arthroscopic debridement. Advantages include pain reduction, function and construction improvements of the knee were observed that can benefit the clinics.

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备注/Memo

备注/Memo:
国家自然科学基金（81401815）
更新日期/Last Update: 2016-02-16