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-  2016 

腓骨近端截骨联合膝关节镜清理术治疗伴内翻畸形的膝关节骨关节炎

DOI: doi:10.7507/1002-1892.20160279

Keywords: 膝关节, 骨关节炎, 内翻畸形, 关节镜清理术, 腓骨近端截骨术

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Abstract:

目的探讨腓骨近端截骨联合膝关节镜清理术治疗伴内翻畸形的膝关节骨关节炎(osteoarthritis,OA)临床疗效。 方法2013年12月-2015年6月,收治61例伴内翻畸形的膝关节OA患者,其中32例采用单纯关节镜下膝关节清理术(A组),29例采用腓骨近端截骨联合膝关节镜清理术(B组)。患者年龄、性别、侧别、病程、OA分期、术前疼痛视觉模拟评分(VAS)及膝关节学会评分系统(KSS)比较,差异均无统计学意义(P > 0.05),具有可比性。术后1周、3个月、12个月采用VAS评分及KSS评分分别评价患膝疼痛及患肢功能恢复情况。 结果两组患者均获随访12个月。患者切口均Ⅰ期愈合;A、B组并发症发生率分别为0、3.4%,差异无统计学意义(χ2=0.723,P=0.432)。两组术后1周、3个月、12个月VAS评分均明显低于术前(P < 0.05);A组术后1周VAS评分显著低于B组,但3、12个月时却显著高于B组,比较差异有统计学意义(P < 0.05)。术后两组患者膝关节功能均显著恢复,术后1周、3个月、12个月KSS评分均明显优于术前(P < 0.05);A组术后1周KSS评分与B组比较差异无统计学意义(P > 0.05),但术后3、12个月评分显著低于B组(P < 0.05)。 结论腓骨近端截骨联合膝关节镜清理术能同时处理膝关节力线不良及关节内病变,是治疗伴内翻畸形的膝关节OA的一种安全、有效方法

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