Clinical efficacy of high tibial osteotomy combined with arthroscopic surgery for medial knee osteoarthritis
胫骨高位截骨与关节镜手术联合治疗膝关节内侧骨关节炎的临床疗效

摘要

目的 深入分析胫骨高位截骨与关节镜手术联合治疗膝关节内侧骨关节炎的临床疗效。方法 挑选2019年到2021年期间于我院骨科接受治疗的80例行膝关节炎症修复手术患者作为此次研究的观察对象，采用奇偶数分配的方式分为两个组别。两组分别采用不同的治疗方式，从术后膝关节评分、临床疗效、日常活动能力、炎症因子水平、生活质量综合评定问卷以及术后并发症情况等几个方面进行对比。结果 经过治疗后，参照组术后3天到1个月膝关节评分高于研究组，术后三至12月膝关节评分无明显差异，日常活动能力评分均高于治疗前，两组患者疼痛评分和炎症因子水平均低于治疗前，两组膝关节活动度并无明显差异，研究组的生命质量综合评价和术后病人并发症率均小于参照组，因此研究组术后的疗效较好P<0.05。结论 给予患者以单纯关节镜处理方法后在术后早期效果显著，但后期对二组膝关节评分结果并无差别，如采用胫骨高位截骨再结合关节镜处理的方法可使病人在术后减轻膝盖痛苦，从而降低术后并发症的出现，日常活动能力明显增强，由此可知，胫骨高位截骨同时行关节镜处理膝关节骨性关节炎治疗，其整体效果显著。

Abstract

Objective: To analyze the clinical efficacy of high tibial osteotomy combined with arthroscopic surgery in the treatment of medial knee osteoarthritis.
Methods: A total of 80 patients undergoing knee inflammatory repair surgery treated in the Department of Orthopedics of our hospital from 2019 to 2021 were selected as the observation objects of this study, and were divided into two groups by odd-even allocation method. The two groups were treated with different treatment methods, and the postoperative knee score, clinical efficacy, daily activity ability, inflammatory factor level, quality of life comprehensive assessment questionnaire and postoperative complications were compared.
Results: after treatment, the control group after 3 days to 1 month knee score higher than that of group, there was no significant difference in three to twelve month knee score, daily activity ability score were higher than before the treatment, two groups of patients with pain score and inflammatory factor levels are lower than before the treatment, two groups of knee joint motion, there is no obvious difference, the team of quality comprehensive evaluation and postoperative patients with life The disease rate of the study group was lower than that of the reference group, so the postoperative efficacy of the study group was better (P<0.05).
Conclusion  : Gives pure after arthroscopic treatment to the patients in the early postoperative effect is remarkable, but the result of the two groups knee score late and indifference, if use high tibia bone cutting processing method of combined with arthroscopy can make patients relieve knee pain after surgery, thereby reducing the occurrence of postoperative complications, the more daily activities, therefore, high tibia bone cutting line arthroscopic treatment at the same time The overall effect of knee osteoarthritis treatment is remarkable.