Clinical study on the treatment of knee osteoarthritis with small needle knife combined with knee joint exercise
Objective To study the clinical efficacy of small needle knife therapy combined with knee joint stretching exercise in patients with mild to moderate knee osteoarthritis(KOA)based on the traditional theory of tendon aggregation,and to summarize the distribution pattern of tendon aggregation points in the knee joint.Methods A total of 60 mild to moderate KOA patients meeting the standards were randomly divided into a control group and a treatment group,with 30 cases in each group.The control group was treated with oral administration of iricoxib tablets,external application of Dieda ointment,and quadriceps muscle stretching exercise.The treatment group was treated with oral administration of iricoxib tablets and small needle knife therapy combined with knee joint stretching exercise.The treatment lasted for two weeks in both groups.The Lysholm function scores of the knee joint,serum levels of IL-6 and TNF-α were observed in the two groups of patients before and after treatment.At the same time,the tendon aggregation points of all patients'knee joints were recorded,and their distribution patterns were analyzed and summarized.Results After treatment,the improvement of Lysholm scores was significantly better in the treatment group than that in the control group(P<0.01).There was statistically significant difference in the level changes in IL-6 and TNF-α in the treatment group before and after treatment.The most concentrated areas of tendon aggregation are the starting and ending points of the inner and outer collateral ligaments and the goose foot,followed by the starting and ending points of the hamstring muscle,the four corners of the patella,and the starting and ending points of the patellar ligament for the least.Conclusion The study shows that the probability of tendon aggregation is highest at the starting and ending points of the medial and lateral collateral ligaments of the knee joint and the goose foot,followed by the starting and ending points of the hamstring muscle.This conclusion can provide important reference for needle knife treatment of knee joint.The use of small needle knife therapy combined with knee joint stretching exercise has a more satisfactory clinical effect in the treatment of patients with mild to moderate knee osteoarthritis and has a higher clinical promotion value.
theory of tendon aggregationknee osteoarthritissmall needle knifefunctional exercise
万方数据
维普
