| 王 莹,杨益民,尹 思,姬文晨,李 嘉.腓骨近端截骨术与胫骨高位截骨术治疗内侧间室性膝关节骨关节炎的比较研究[J].,2019,19(21):4197-4200 |
| 腓骨近端截骨术与胫骨高位截骨术治疗内侧间室性膝关节骨关节炎的比较研究 |
| Comparative Study of Proximal Peroneal Osteotomy and High Tibial Osteotomy in Treatment of Medial Compartment Osteoarthritis of the Knee |
| 投稿时间：2019-05-07 修订日期：2019-05-30 |
| DOI：10.13241/j.cnki.pmb.2019.21.045 |
| 中文关键词: 腓骨近端截骨术 胫骨高位截骨术 膝关节骨关节炎 疗效 |
| 英文关键词: Proximal peroneal osteotomy High tibial osteotomy Knee osteoarthritis Curative effect |
| 基金项目:陕西省社会发展科技攻关项目（2016SF-222） |
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| 中文摘要: |
| 摘要 目的：对比内侧间室性膝关节骨关节炎（KOA）患者应用腓骨近端截骨术与胫骨高位截骨术治疗的疗效。方法：选取2016年11月到2017年12月在我院接受治疗的内侧间室性KOA患者32例，采用随机数字表法将所有患者分为腓骨近端截骨组与胫骨高位截骨组各16例，比较两组患者的手术时间、住院时间、术中出血量和住院费用，比较两组患者术前、术后3个月、术后6个月的美国特种外科医院膝关节评分（HSS）、美国膝关节协会评分（KSS）、视觉模拟疼痛评分（VAS）和股胫角（FTA），比较两组患者术后出现的并发症的发生率。结果：腓骨近端截骨组患者的手术时间、住院时间短于胫骨高位截骨组，术中出血量和住院费用均显著少于胫骨高位截骨组（P<0.05）；术后3个月、术后6个月两组患者的HSS评分、KSS评分均明显高于术前，VAS评分、FTA均明显低于术前（P<0.05）；术前、术后3个月、术后6个月两组患者的HSS评分、KSS评分、VAS评分、FTA比较均无统计学差异（P>0.05）；两组患者的并发症发生率比较无统计学差异（P>0.05）。结论：腓骨近端截骨术和胫骨高位截骨术均可有效治疗内侧间室性KOA，改善患者的膝关节功能和疼痛感，纠正内翻畸形，但腓骨近端截骨术手术时间和住院时间更短，术中出血量和住院费用更少。 |
| 英文摘要: |
| ABSTRACT Objective: To compare the curative effects of proximal peroneal osteotomy and high tibial osteotomy in treatment of patients with medial compartment knee osteoarthritis (KOA). Methods: 32 patients with medial compartment KOA who were treated in our hospital from November 2016 to December 2017 were selected, which were divided into the proximal peroneal osteotomy group and the high tibial osteotomy group by the random digital table method, 16 cases in each group. The operation time, hospitalization time, the amount of intraoperative bleeding and the cost of hospitalization were compared between the two groups. The hospital for special surgery (HSS) knee score, American knee society knee score (KSS), visual analogue score (VAS) and femoral tibial angle (FTA) of the two groups before operation, 3 months and 6 months after operation and the incidence of postoperative complications of the two groups were compared. Results: The operation time, hospitalization time in the proximal peroneal osteotomy group were shorter than those in the high tibial osteotomy group, while the amount of intraoperative bleeding and the cost of hospitalization were significantly less than those in the high tibial osteotomy group (P<0.05). The HSS score and KSS score were significantly higher in the two groups at 3 months and 6 months after operation, while VAS score and FTA were significantly lower than those before operation (P<0.05); There were no significant differences in HSS score, KSS score, VAS score and FTA between the two groups before operation, 3 months and 6 months after operation (P>0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). Conclusion: Proximal fibular osteotomy and high tibial osteotomy can be effective in treatment of medial compartment KOA, improve the patient's knee joint function and pain, and correct the varus deformity. However, the operation time and hospitalization time of the peroneal proximal osteotomy are shorter, and the amount of intraoperative bleeding and the cost of hospitalization are less. |
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