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单纯腓骨截断术治疗膝骨关节炎临床研究
引用本文:李存祥,贾素华,王健,赵飞,李建涛,郑彦华,赵彦铭,王宏艳,张少坤,张保申,柳俊其,刘兰泽.单纯腓骨截断术治疗膝骨关节炎临床研究[J].现代保健,2010(2):115-117.
作者姓名:李存祥  贾素华  王健  赵飞  李建涛  郑彦华  赵彦铭  王宏艳  张少坤  张保申  柳俊其  刘兰泽
作者单位:[1]河北省宁晋县医院,055550 [2]河北省赵县县医院 ,055550 [3]河北省唐山市第二医院,055550
摘    要:目的 探讨腓骨截断术治疗膝关节骨性关节炎膝内侧疼痛的适应证,手术方法及治疗效果.方法 对30例膝关节骨性关节炎膝内侧疼痛患者实行腓骨截断术.结果 术后随访1~3年,膝关节JOA评分,术前平均(75.5±5)分,术后平均(85.5±5)分,术后评分与术前有显著性差异,22例感到满意,6例较满意,较不满意2例.结论 腓骨截断术减除了腓骨对胫骨平台的支撑作用,能起到平衡胫骨平台的负重的作用,从而减轻膝关节内侧压力,对减轻膝关节骨性关节炎膝内侧疼痛有良好的疗效.

关 键 词:骨关节炎  膝关节  疼痛  腓骨  截断术

Clinical study on the treatment of knee osteoarthritis by fibular osteotomy
Institution:LI Cun - xiang , JIA Su - hua , WANG Jian, ZHAO Fei, LI Jian - tao , ZHENG Yan- hua , ZHAO Yan- ming , WANG Hong - yan, ZHANG Shao - kun, ZHANG Bao-shen, LIU Jun- qi, LIU Lan- ze. (Ningjin Hospital of Hebei Province,Ningjin 055550, China)
Abstract:Objective To explore the application and therapeutic effect that fibular truncation for the treatment of osteoarthritis of the knee suffer from medial knee pain. Methods Thirty patients with osteoarthritis of knee suffer from medial knee pain be treated by fibula truncation. Results Follow - up 1 - 3 years Knee JOA score preoperative average (75.5 ± 5 ) and ( 85.5 ± 5 ) after operation. Knee JOA score was significant difference between preoperation with pestoperation. Conclusion Fibula support the lateral tibial. It is that set up a new balance for tibial though truncation of the fibula and delived the pressure on the medial knee. It get a good effect for alleviating osteoarthritis of the knee medial pain.
Keywords:Osteoarthritis  Knee  Pain  Fibular  Osteotomy
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