关节镜清理股骨远端截骨治疗膝骨关节炎
Arthroscopic debridement combined with distal femur osteotomy for treatment of knee osteoarthritis
傅一峰 1冯炜 1杨雷 1俞立新 1张常贵1
作者信息
- 1. 陆军第七十二集团军医院骨三科,浙江湖州 313000
- 折叠
摘要
[目的]评估关节镜清理股骨远端截骨治疗膝骨关节炎的临床疗效.[方法]回顾性分析2019年2月-2022年2月本科收治的56例膝骨关节炎患者的临床资料.评价临床及影像结果.[结果]所有患者均顺利完成手术,术中无神经血管损伤等严重并发症.随访时间平均(21.6±2.7)个月,与术前相比,末次随访时,患者VAS评分[(6.2±0.9),(0.5±0.5),P=0.003]显著减少,KSS 评分[(36.4±8.1),(81.4±1.1),P＜0.001]、膝 ROM[(130.1±0.3)°,(139.3±0.4)°,P＜0.001]显著增加.影像方面,与术前相比,末次随访时,患者股颈角(femorotibial angle,FTA)[(80.6±0.4)°,(87.4±0.3)°,P=0.002]、股骨远端外侧机械角(mechanical lateral distal femoral angle,mLDFA)[(167.7±2.8)°,(176.8±0.2)°,P＜0.001]均显著增加,所有患者均无骨不连、钢板断裂等并发症.[结论]关节镜清理股骨远端截骨治疗膝骨关节炎,可以减轻患者症状,延缓骨性关节炎的进展.
Abstract
[Objective]To evaluate the clinical outcome of arthroscopic debridement combined with distal femoral osteotomy for knee osteoarthritis.[Methods]A retrospective study was done on 56 patients who received abovesaid treatment for knee osteoarthritis in our de-partment from February 2019 to February 2022.The clinical and imaging data were evaluated.[Results]All patients had operation per-formed successfully,with no serious complications,such as neurovascular injury,and followed up for a mean of(21.6±2.7)months.Com-pared with the preoperative results,VAS score significantly reduced[(6.2±0.9),(0.5±0.5),P=0.003],KSS score[(36.4±8.1),(81.4±1.1),P＜0.001],knee ROM[(130.1±0.3)°,(139.3±0.4)°,P＜0.001]increased significantly at the last follow-up.In term of imaging,the patients had femorotibial angle(FTA)[(80.6±0.4)°,(87.4±0.3)°,P=0.002],mechanical lateral distal femoral angle(mLDFA)[(167.7±2.8)°,(176.8±0.2)°,P＜0.001]significantly increased at the last follow-up compared with those preoperatively,with no complications,such as bone nonunion or plate fracture found in anyone of them.[Conclusion]Arthroscopic debridement combined with distal femoral osteotomy for the treatment of knee osteoarthritis can relive the symptoms and delay the progression of osteoarthritis.
关键词
膝关节镜/股骨远端截骨/膝关节外翻畸形/膝关节单间室骨关节炎Key words
knee arthroscopy/distal femur osteotomy/knee valgus deformity/single compartment osteoarthritis of the knee引用本文复制引用
出版年
2024
NETL
NSTL
万方数据