Comparative analysis of the effect of simple high cut of fibula and arthroscopic lavage debridement combined with fibular osteotomy in the treatment of knee osteoarthritis
10.3760/cma.j.issn.1008-6706.2015.24.032
- VernacularTitle:单纯腓骨高位截骨术与关节冲洗清理联合腓骨高位截骨术治疗膝骨关节炎的疗效比较
- Author:
Huidong WANG
;
Wei HU
;
Jikai LI
;
Ming GUO
;
Fuda LIU
- Publication Type:Journal Article
- Keywords:
Osteoarthritis;
Fibula;
Osteotomy;
Arthroscopic;
Lavage
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(24):3777-3780
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the short and long term effect of knee osteoarthritis treatment with two therapeutic methods which are simple high cut of fibula and arthroscopic lavage debridement combined with fibular osteotomy.Methods Data of 45 consecutive patients with knee osteoarthritis were retrospectively observed and selected,and then they were divided into two groups according to the operation method.23 patients with simple high cut of fibula were selected as the control group,and 22 patients with arthroscopic lavage debridement combined with fibular osteotomy were selected as the observation group.Results The VAS and AKS scores of the control group at the time of 3m,6m,1 2m were (4.1 3 ±0.76)points,(1 07.04 ±21 .53)points;(2.70 ±0.64)points,(1 41 .1 7 ±1 2.57)points;(2.43 ±0.79)points,(1 48.26 ±5.81 )points;and the scores of the observation group were (3.45 ± 0.60)points,(1 26.64 ±1 4.24)points,(2.70 ±0.73)points,(1 46.45 ±7.26)points,(2.41 ±0.85)points and (1 48.26 ±5.81 )points.The differences between the two groups were statistically significant at the time of 3 months after surgery(t =3.32,-3.62,all P <0.05),the effect of observation group was better than the control group;but the other indices had no statistically significant differences (t =0.51 ,-1 .72,0.1 1 ,-0.20,all P >0.05 ). Conclusion The simple high cut of fibula with small trauma,less cost,less surgical difficulty,and long -term clini-cal curative effect is not less than the arthroscopic lavage and debridement combined with fibular osteotomy.There-fore,it should be carried out in the primary hospitals widely.
