韩昶晓;田向东;王剑;朱光宇;谭冶彤;雷鸣;马晟;胡元一;李述文;陈汉东;黄叶;

• 1:北京中医药大学研究生院
• 2:北京中医药大学第三附属医院微创关节科

摘要(Abstract)：

[目的]比较胫骨截骨术联合关节镜治疗与单纯关节镜治疗内侧间室膝骨关节炎的临床效果。[方法]回顾分析2016年8月～2018年10月手术治疗的内侧间室膝骨关节炎患者133例;其中,65例采用关节镜清理联合胫骨截骨,68例采用单纯关节镜清理术。比较两组围手术期、随访和影像资料。[结果]所有患者均顺利完成手术,无神经、血管损伤等严重并发症。两组患者镜下所见内侧间室Outerbridge分级和镜下操作的差异无统计学意义(P>0.05)。随时间推移,两组患者VAS评分和WOMAC评分均显著减少(P<0.05),而HSS评分显著增加(P<0.05)。术后3个月和12个月时,联合组的上述评分均显著优于关节镜组(P<0.05)。影像方面,联合组术后12个月WBL和FTA均较术前显著改善,而关节镜组的WBL和FTA无变化(P>0.05);术后12个月,联合组WBL、FTA显著优于关节镜组(P<0.05)。[结论]胫骨截骨术联合关节镜清理治疗内侧室膝骨性关节炎的临床效果显著优于单纯关节镜清理术。

关键词(KeyWords)： 内侧间室膝骨关节炎;关节镜清理术;胫骨高位截骨;膝内翻

Abstract:

Keywords:

基金项目(Foundation): 北京中医药大学基本科研业务青年教师项目（编号：2019-JYB-JS-178）

作者(Author): 韩昶晓;田向东;王剑;朱光宇;谭冶彤;雷鸣;马晟;胡元一;李述文;陈汉东;黄叶;

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