| 王宝辉,王暄齐,樊晓晨,康 鑫,韩秀伟,雷 涛.膝关节镜手术联合矫形支具治疗对膝关节骨性关节炎患者围手术期指标、膝关节功能和关节活动度的影响[J].,2024,(12):2259-2263 |
| 膝关节镜手术联合矫形支具治疗对膝关节骨性关节炎患者围手术期指标、膝关节功能和关节活动度的影响 |
| Effect of Knee Arthroscopic Surgery Combined with Orthopedic Brace Treatment on Perioperative Indexes, Knee Function and Joint Range of Motion in Patients with Knee Osteoarthritis |
| 投稿时间：2023-11-15 修订日期：2023-12-11 |
| DOI：10.13241/j.cnki.pmb.2024.12.010 |
| 中文关键词: 关节镜手术 矫形支具 骨性关节炎 围术期指标 |
| 英文关键词: Arthroscopic surgery Orthopedic brace Osteoarthritis Perioperative index |
| 基金项目:陕西省科技厅社会发展领域科研课题（2023-YBSF-617） |
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| 中文摘要: |
| 摘要 目的：探讨膝关节镜手术联合矫形支具治疗对膝关节骨性关节炎患者围手术期指标、膝关节功能和关节活动度的影响。方法：选取2020年1月到2023年1月膝关节骨性关节炎患者116例，分为观察组、对照组，每组58例。对照组采取单纯膝关节镜手术治疗，观察组采取膝关节镜手术联合矫形支具治疗，对比两组患者围术期相关指标，膝关节功能，术后并发症发生率以及关节活动度。结果：两组患者手术时间、术中出血量、切口长度、住院时间相关围术期指标对比无差异（P＞0.05）；两组患者治疗前美国特种外科医院膝关节评估（HSS）、美国膝关节协会评分（KSS）对比无差异（P＞0.05），治疗后均升高，且与对照组相比，观察组高（P＜0.05）；观察组患者术后并关节炎进展、关节出血及纤维化、衬垫脱位、假体松动、感染等并发症总发生率明显低于对照组（P＜0.05）；两组患者治疗前最大关节伸直角度、最大关节屈伸活动度、胫骨平台后倾角和胫股角对比无明显差异（P＞0.05），治疗后两组患者最大关节伸直角度、胫骨平台后倾角和胫股角均降低，观察组低于对照组，最大关节屈伸活动度升高，观察组高于对照组（P＜0.05）。结论：膝关节镜手术联合矫形支具治疗膝关节骨性关节炎能够降改善患者膝关节功能恢复水平，减少术后并发症发生情况，改善膝关节活动度。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the effect of knee arthroscopic surgery combined with orthopedic brace treatment on perioperative indexes, knee function and joint range of motion in patients with knee osteoarthritis. Methods: A total of 116 patients with knee osteoarthritis from January 2020 to January 2023 were divided into observation and matched groups with 58 patients in each group. The matched group underwent knee arthroscopy alone, and the observation group used knee arthroscopy combined with orthopedic brace to compare the perioperative index, the rate of knee function and the range of joint mobility. Results: There was no difference between the two groups in the perioperative indexes related to operation time, intraoperative bleeding, incision length and hospital stay (P>0.05); There was no difference between the two groups in the knee joint assessment (HSS) and the American Knee Association score (KSS) of the American Special Surgery Hospital before treatment(P>0.05). Post-treatment, the HSS score and KSS score of the two groups increased, and the observation group was higher than the matched group(P<0.05); The total incidence of complications such as arthritis progression, joint bleeding and fibrosis, pad dislocation, prosthesis loosening and infection in the observation group was lower than the matched group(P<0.05); There was no difference between the two groups in terms of the maximum joint extension angle, maximum joint flexion and extension range of motion, tibial plateau caster angle and tibiofemoral angle before treatment(P>0.05). Post-treatment, the maximum joint extension angle, tibial plateau caster angle and tibiofemoral angle of the two groups decreased. The observation group was lower than the matched group, and the maximum joint flexion and extension range of motion increased, and the observation group was different with matched group (P<0.05). Conclusion: The treatment of knee osteoarthritis with knee arthroscopic surgery and orthopedic brace can reduce and improve the recovery level of knee function, reduce postoperative complications, and improve the range of motion of knee joint. |
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