胫骨近端双平面截骨结合关节镜技术治疗合并内侧半月板损伤的膝关节内翻性骨性关节炎*

目的探讨胫骨近端双平面截骨结合关节镜技术治疗膝关节内翻性骨性关节炎(OA)的初步临床效果。方法纳入2016年11月-2018年9月30例进行内侧胫骨近端撑开截骨结合关节镜治疗的膝关节内翻畸形OA患者,并采用美国膝关节协会评分(KSS)、疼痛视觉模拟评分(VAS)和股胫角(FTA)等指标对疗效进行评估与分析。结果 27例患者获得随访,随访时间12～34个月,平均随访时间20.6个月,X线片复查示所有患者的膝内翻畸形得到纠正,截骨均愈合,愈合时间3～8个月,平均3.5个月。所有患者切口均Ⅰ期愈合,无伤口感染。末次随访术后KSS评分(88.42±3.27)分、FTA(176.88±3.36)°和VAS评分(1.48±0.89)分与术前比较,差异均有统计学意义(P 0.05)。结论胫骨近端双平面截骨结合关节镜技术能有效纠正力线,缓解关节疼痛,改善关节功能。

Effectiveness of double plane high tibial osteoarthritis combined with arthroscopy in treatment of varus knee osteoarthritis with medial meniscus injury*

Abstract: Objective?To explore the short-term clinical effectiveness of double plane high tibial osteotomy combined with arthroscopy in treatment of vars knee osteoarthritis with medial meniscus injury.?Methods?The clinical data of 30 patients with varus knee osteoarthritis with medial meniscus injury who treated with double plane high tibial osteotomy combined with arthroscopy between November 2016 and September 2018 was retrospectively analyzed. We use knee society score (KSS) evaluate knee joint function, visual analogue scale (VAS) was used to evaluate pain, the femur tibia angle (FTA) was adopted to measure limb alignment.?Results?27 patients were followed up 12?~?34 months with average of 20.6 month. All the patients varus deformity were corrected, X ray films showed that all osteotomy healed during 3?~?7 months (mean 3.5months). All the incisions healed in the first stage, no complication of infection was observed. At the last follow-up, KSS score (88.42?±?3.27), FTA (176.88?±?3.36)°and VAS score (1.48?±?0.89) were significantly improved than that preoperatively (P?