Abstract: | Objective To investigate the effect of rehabilitation training based on mechanical concepts combined with Ilizarov technical orthopedics on knee joint function, stability and lower limb weight bearing in elderly patients with knee osteoarthritis. Methods This study is a retrospective clinical study. 120 patients with knee osteoarthritis over 60 years old who were admitted to the Department of Orthopedics and Traumatology in our hospital from December 2019 to June 2021 were selected as the research subjects. All patients were divided into observation group and control group, according to different treatment methods. The control group received Ilizarov technical orthopedic intervention, and the observation group received rehabilitation training based on mechanics concepts combined with Ilizarov technical orthopedic intervention. We measured and compared the knee function of the two groups of patients before and after surgery at different periods (3 months, 6 months, 12 months) American Knee Society Scale (KSS) score, American Hospital for Special Surgery (HSS) Knee Joint function system score, knee range of motion (ROM) ], pain level visual analog scale (VAS) for pain], lower extremity weight-bearing mechanical axis hip-knee-ankle angle (HKA) and tibiofemoral angle (FTA)] . Results The KSS scores of patients in the two groups continued to increase in different aspects such as stability, range of motion and total score at 3 months, 6 months and 12 months after operation, while the pain, defect deduction and other dimensions continued to decrease, and there were differences between the groups. Significant (P < 0.05). The knee ROM and HSS scores of the two groups continued to increase at 3 months, 6 months, and 12 months after operation, while the VAS score continued to decrease, and the difference between the two groups was significant (P < 0.05). At 3 months, 6 months, and 12 months after the operation, the HKA of the lower extremity weight-bearing position continued to increase, and the FTA continued to decrease, and the differences between the two groups were significant (P < 0.05). Conclusion Rehabilitation training based on the mechanics concept combined with Ilizarov technical orthopedics can quickly relieve the pain symptoms of elderly patients with knee osteoarthritis, improve their knee joint mobility and stability, correct the mechanical axis of the lower limbs’ weight-bearing position, and improve knee joint function. |