关节镜清理联合腓骨高位截骨治疗中度内翻型膝骨性关节炎疗效分析

目的探讨联合应用关节镜清理及腓骨高位截骨治疗中度内翻型膝骨性关节炎（KOA）的临床疗效。方法选取中度内翻型KOA 42例，随机分为观察组（21例）和对照组（21例），观察组接受关节镜清理及腓骨高位截骨手术治疗，对照组予以规范化药物保守治疗，记录2组治疗6周后疼痛视觉模拟评分（VAS）及Lysholm评分。结果42例均配合良好，治疗6周后均获随访，观察组无手术并发症发生，2组VAS和Lysholm评分差异有统计学意义（P＜0.05）。结论关节镜清理及腓骨高位截骨治疗KOA具有创伤小、恢复快、初期临床效果明显等优点。

Effect analysis of arthroscopic cleaning combined with high fibular osteotomy in the treatment of moderate varus knee osteoarthritis

ObjectiveTo investigate the clinical effects of arthroscopic cleaning combined with high fibular osteotomy in the treatment of moderate varus knee osteoarthritis(KOA).MethodsForty-two patients with moderate varus KOA were randomly divided into the observation group(21 cases) and control group(21 cases).The observation group were treated with arthroscopic cleaning combined with high fibular osteotomy, and the control group were treated with conservative treatment with standard drug.The scores of VAS and Lysholm in two groups after 6 weeks of treatment were recorded.ResultsAll patients showed good cooperation, were followed up for 6 weeks, and no surgical complications in observation group was found.The differences of the scores of VAS and Lysholm between two groups were statistically significant(P < 0.05).ConclusionsThe arthroscopic cleaning combined with high fibular osteotomy in the treatment of moderate varus KOA is small trauma, quick recovery and obvious initial clinical effect.