腓骨近端截骨与关节镜下清理治疗中老年膝关节骨关节炎

目的 探讨腓骨近端截骨与关节镜下清理治疗中老年膝关节骨关节炎的临床效果.方法 将90例膝关节骨关节炎患者按照治疗方法 的不同分为对照组(采用全膝关节置换术治疗,45例)与观察组(采用腓骨近端截骨与关节镜下清理治疗,45例).记录两组住院时间、治疗费用、并发症发生情况.术后6个月采用HSS评分、疼痛VAS评分、膝关节活动...

Proximal fibula osteotomy and arthroscopic debridement in the treatment of knee osteoarthritis in the middle-aged and elderly

Objective To investigate the clinical effect of proximal fibula osteotomy and arthroscopic debridement in the treatment of knee osteoarthritis in the middle-aged and elderly patients.Methods According to the treatment method,the 90 patients with knee osteoarthritis were divided into control group(45 patients were treated with total knee arthroplasty)and observation group(45 patients were treated with proximal fibula osteotomy and arthroscopic debridement).The hospitalization time,treatment cost and complications situation in the two groups were recorded.At 6 months postoperation,HSS score,VAS and range of motion(ROM)of knee joint were used to evaluate the clinical effect.Results The patients were followed up for 6~12 months.The hospitalization time and treatment cost of the observation group were significantly shorter(less)than those of the control group(P<0.01).At 6 months after operation,HSS score,VAS and ROM of knee joint were significantly better than the preoperation(P<0.05),but there were no significant differences in various indicators of three items between the two groups(P>0.05).No incision infection,nerve injury,joint adhesion and other complications occurred in both groups.Conclusions Proximal fibula osteotomy and arthroscopic debridement in the treatment of knee osteoarthritis in the middle-aged and elderly can quickly relieve the pain of patients,restore knee joint activity,with fewer complications,shorter hospitalization time,lower treatment cost,and satisfactory clinical effect.