摘要
目的 探究应用胫骨高位截骨术(high tibial osteotomy, HTO)联合膝关节镜治疗膝关节骨关节炎术后早期疗效。方法 选取2020年7月至2021年6月间因膝关节骨关节炎于山东大学齐鲁医院关节科行HTO治疗的25例患者,男性11例,女性14例;年龄47~65岁,平均(53.84±5.08)岁,记录术前及术后血液指标变化、术中出血量及术后引流量、并发症等发生情况。于术后6周、术后3个月、术后6个月随访,采用疼痛视觉模拟评分(visual analogue scale, VAS)及美国特种外科医院(hospital for special surgery, HSS)膝关节评分评定膝关节功能及疗效。结果 所有患者均顺利完成手术,术中及术后均无严重并发症发生。术前、术后部分血液学指标差异有统计学意义。术前VAS评分(6.52±1.16)分,术后6个月(0.92±0.76)分,两者比较差异有统计学意义(P<0.05);术前HSS评分(75.16±5.42)分,术后6个月(92.36±2.84)分,两者比较差异有统计学意义(P<0.05)。结论 HTO联合膝关节镜治疗膝关节骨关节炎,术中缺血少,早期膝关节功能明显改善,值得临床推广应用。
Objective To explore the early postoperative efficacy of combining high tibial osteotomy(HTO)with knee arthroscopy for the treatment of knee osteoarthritis.Methods The study included 25 patients who underwent HTO treatment for knee osteoarthritis at the Department of Arthritis,Qilu Hospital of Shandong University between July 2020 and June 2021.The patients consisted of 11 males and 14 females,with ages ranging from 47 to 65 years(mean age:53.84±5.08 years).The study recorded changes in blood indicators before and after surgery,intraoperative bleeding and postoperative drainage volumes,and the occurrence of complications.Follow-up visits were conducted at 6 weeks,3 months,and 6 months after surgery,and the knee joints were evaluated using the visual analogue scale(VAS)and the Hospital for Special Surgery(HSS)Knee Score to assess function and efficacy.Results All patients successfully completed the operation without any serious complications.There were statistically significant differences in some preoperative and postoperative hematological indicators.The preoperative VAS(6.52±1.16)and the postoperative score at 6 months(0.92±0.76)showed statistically significant improvement(P<0.05),as did the preoperative HSS(75.16±5.42)and the postoperative score at 6 months(92.36±2.84)(P<0.05).Conclusion Combining HTO with knee arthroscopy for the treatment of knee osteoarthritis resulted in less intraoperative ischemia and significant improvement in early knee function.These findings suggest that this approach has potential for clinical promotion and application.
作者
刘明星
郝杰
李松林
苗壮
韩凯飞
刘培来
Liu Mingxing;Hao Jie;Li Songlin;Miao Zhuang;Han Kaifei;ZhengTong;Liu Peilai(Boshan Hospital of Traditional Chinese Medicine,Zibo 255200,China;Zibo Department of Traditional Chinese and Western Medicine Hospital,Zibo 255000,China;Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Qilu Hospital,Shandong University,Jinan 250012,China)
出处
《实用骨科杂志》
2023年第10期912-915,共4页
Journal of Practical Orthopaedics
关键词
胫骨高位截骨术
膝骨关节炎
膝关节镜
早期疗效
high tibial osteotomy
knee osteoarthritis
knee arthroscopy
early efficacy
