腓骨近端截骨、关节镜治疗膝关节内侧间室骨关节炎研究
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摘要
目的探讨对膝关节内侧间室骨关节炎患者行腓骨近端截骨、关节镜的治疗效果。方法选入我院于2015年4月—2016年4月所接收的膝关节内侧间室骨关节炎患者共8例,所有患者均行关节镜清理联合腓骨近端截骨手术治疗,对患者手术前以及手术后的VAS评分、HSS评分等指标进行评定。结果 8例患者切口愈合完全,只有1例患者手术后出现了足背麻木感,踝关节功能正常。手术后对患者随访1年,7例患者较手术前有一定改善,1例没有改善。结论通过对膝关节骨关节炎患者行腓骨近端截骨术治疗,临床操作方法简单,对患者的创伤性小,有效对膝关节功能进行改善。
Objective To explore the effect of proximal fibula osteotomy and arthroscopy in the treatment of medial compartment osteoarthritis of the knee. Methods 8 patients with medial compartment osteoarthritis of the knee joint from April 2015 to April 2016 were selected. All the patients were treated with arthroscopic cleaning combined with proximal fibula osteotomy, and the VAS score and HSS score were evaluated before and after the operation. Results The incision healed completely in 8 patients.Only 1 patients had numbness on the dorsum of foot and ankle function was normal after operation. After surgery the patients were followed up for 90 day to 1 year, 7 patients were compared before surgery have improved, 1 patients did not improve. Conclusion Through the proximal peroneal osteotomy for the patients with osteoarthritis of the knee, the clinical operation method is simple, the trauma of the patients is small and the function of the knee joint is improved effectively.
Objective To explore the effect of proximal fibula osteotomy and arthroscopy in the treatment of medial compartment osteoarthritis of the knee. Methods 8 patients with medial compartment osteoarthritis of the knee joint from April 2015 to April 2016 were selected. All the patients were treated with arthroscopic cleaning combined with proximal fibula osteotomy, and the VAS score and HSS score were evaluated before and after the operation. Results The incision healed completely in 8 patients.Only 1 patients had numbness on the dorsum of foot and ankle function was normal after operation. After surgery the patients were followed up for 90 day to 1 year, 7 patients were compared before surgery have improved, 1 patients did not improve. Conclusion Through the proximal peroneal osteotomy for the patients with osteoarthritis of the knee, the clinical operation method is simple, the trauma of the patients is small and the function of the knee joint is improved effectively.
引文
[1]王英明,孔荣,禹德万,等.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,2016,2(1):21-25.
[2]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,2017,3(4):238-243.
[3]王鑫,安玉章,石涛,等.腓骨近端截骨联合关节镜清理治疗膝关节内侧间室骨关节炎[J].西部医学,2017,29(12):1718-1722.
[4]曾伟,蔡安烈,刘荆陵,等.腓骨近端截骨术联合关节镜清理治疗膝关节内侧间室骨关节炎的疗效[J].国际骨科学杂志,2017,38(6):384-388.
[5]严坤,刘修信,花龙.腓骨近端截骨联合关节镜治疗膝关节内侧间室型骨性关节炎的疗效分析[J].兵团医学,2016,50(4):11-13.
[6]黄平,李远志,欧阳思强.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].中国医学工程,2017,25(8):82-84.
[7]佟刚,解强.膝关节镜结合腓骨近端截骨术对膝关节内侧间室骨关节炎的疗效[J].中华医学杂志,2016,96(43):3508-3510.
[8]谭明伟,吴美平.关节镜清理联合腓骨近端截骨治疗膝关节内侧间室骨性关节炎60例[J].中国中医骨伤科杂志,2017,25(3):58-59.
[9]荆立忠,杨久山.关节镜下清理并胫骨高位截骨、腓骨近端切除术治疗内侧间室骨性关节炎[J].中国骨与关节损伤杂志,2017,32(8):858-859.
[10]姚国军,尹淑梅,赵庆海,等.腓骨近端截骨与关节镜清理治疗膝关节骨关节炎的对比研究[J].中华老年骨科与康复电子杂志,2017,3(2):103-108.
[11]霍丽丽,颉朝阳,崔小雷.腓骨近端截骨联合膝关节镜下关节清理术治疗膝关节骨性关节炎的疗效分析[J].中华老年骨科与康复电子杂志,2017,3(5):306-309.
[12]朱成明,石展英,胡居正,等.关节镜下清理联合腓骨近端截骨治疗中老年膝关节骨性关节炎[J].骨科,2017,8(5):365-369.
[2]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,2017,3(4):238-243.
[3]王鑫,安玉章,石涛,等.腓骨近端截骨联合关节镜清理治疗膝关节内侧间室骨关节炎[J].西部医学,2017,29(12):1718-1722.
[4]曾伟,蔡安烈,刘荆陵,等.腓骨近端截骨术联合关节镜清理治疗膝关节内侧间室骨关节炎的疗效[J].国际骨科学杂志,2017,38(6):384-388.
[5]严坤,刘修信,花龙.腓骨近端截骨联合关节镜治疗膝关节内侧间室型骨性关节炎的疗效分析[J].兵团医学,2016,50(4):11-13.
[6]黄平,李远志,欧阳思强.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].中国医学工程,2017,25(8):82-84.
[7]佟刚,解强.膝关节镜结合腓骨近端截骨术对膝关节内侧间室骨关节炎的疗效[J].中华医学杂志,2016,96(43):3508-3510.
[8]谭明伟,吴美平.关节镜清理联合腓骨近端截骨治疗膝关节内侧间室骨性关节炎60例[J].中国中医骨伤科杂志,2017,25(3):58-59.
[9]荆立忠,杨久山.关节镜下清理并胫骨高位截骨、腓骨近端切除术治疗内侧间室骨性关节炎[J].中国骨与关节损伤杂志,2017,32(8):858-859.
[10]姚国军,尹淑梅,赵庆海,等.腓骨近端截骨与关节镜清理治疗膝关节骨关节炎的对比研究[J].中华老年骨科与康复电子杂志,2017,3(2):103-108.
[11]霍丽丽,颉朝阳,崔小雷.腓骨近端截骨联合膝关节镜下关节清理术治疗膝关节骨性关节炎的疗效分析[J].中华老年骨科与康复电子杂志,2017,3(5):306-309.
[12]朱成明,石展英,胡居正,等.关节镜下清理联合腓骨近端截骨治疗中老年膝关节骨性关节炎[J].骨科,2017,8(5):365-369.