| 曹品,曹卫华.腓骨近端截骨治疗膝骨性关节炎临床分析[J].济宁医学院学报,2018,41(3):192-194 |
| 腓骨近端截骨治疗膝骨性关节炎临床分析 |
| Clinical study of proximal fibular osteotomy for treatment of knee osteoarthritis |
| 投稿时间：2017-08-20 |
| DOI：10.3969/j.issn.1000-9760.2018.03.010 |
| 中文关键词: 骨关节炎;膝关节;腓骨截骨术 |
| 英文关键词: Osteoarthritis;Knee joint;Fibula osteotomy |
| 基金项目: |
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| 中文摘要: |
| 目的 分析腓骨近端截骨治疗对于膝骨性关节炎（KOA）的疗效。方法 总结我院2014年11月至2016年10月收治的内侧间室型膝骨性关节炎患者20例，采用腓骨近端截骨术治疗，分别于术前1周与术后12个月行腓骨近端截骨术前后疼痛视觉评分（VAS）、美国特种外科医院（HSS）膝关节评分并进行比较，通过拍摄膝关节X线对比手术前后下肢力线股胫角变化。结果 20例随访患者，术后VAS评分显著降低，差异有统计学意义（P<0.05）；术后HSS评分显著增加，差异均有统计学意义（P<0.05）；下肢力线股胫角术后明显降低，差异有统计学意义（P<0.05）。结论 腓骨近端截骨术治疗膝骨性关节炎可明显减轻患者症状，改善膝关节功能。 |
| 英文摘要: |
| Objective To analyze the effect of proximal fibular osteotomy on the treatment of knee osteoarthritis.Methods We had collected 20 cases of medial knee osteoarthritis in patients in our hospital from November 2014 to October 2016,which were treated with the follow-up for the 1 week before surgery and after 12 months of the surgery.And then we compared the pain visual score (VAS) and the hospital for special surgery (HSS) knee joint score before and after the surgery of proximal fibular osteotomy,and compared limb alignment tibiofemoral angle before and after surgery by the knee X-ray.Results In the followed up 20 patients,postoperative VAS score was decreased observably,and the difference was statistically significant compared with pre-operation (P<0.05).Postoperative HSS score was increased significantly,and the difference was statistically significant compared with pre-operation (P<0.05).The postoperative limb alignment tibiofemoral angle was markedly decreased,the difference was statistically significant compared with pre-operation (P<0.05).Conclusion Proximal fibular osteotomy can reduce symptoms and improve knee function in patients with knee osteoarthritis. |
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