关节镜清理术联张开式胫骨高位截骨术治疗内翻型膝骨性关节炎临床疗效研究.pdfVIP

The clinical observation on the therapy of varus knee OA using Arthroscopic debridement combined with open high tibial osteotomy Speciality:Orthpedics of TCM Author:Sun Bin Tutor:Professor Zhang Shihua Abstract Purpose: Literature, the simple arthroscopic debridement or high open tibial osteotomy for the treatment of knee osteoarthritis clinical results is satisfactory. But their combination is still a lack of clinical follow-up study , this study aim is by observing varus knee arthritis clinical efficacy by the arthroscopic debridement combined with high open tibial osteotomy, for the clinical treatment of knee osteoarthritis providing a much safer , reasonable and efficient treatment ideas and methods. Methods: The 40 cases turn-based mid - knee osteoarthritis patients by the proportion of 1:1 were randomly divided into two groups :treatment group and control group .Treatment group uses arthroscopic knee debridement combined with opening tibial osteotomy ,while the control group uses the simple arthroscopic knee debridement .After March,June,December,18 months and 24 months, court respectively the two groups knee lysholm ,IKDC score, according to the scoring results to evaluate the clinical efficacy of the two groups of surgical methods . Results: Lysholm score of treatment group and control group in March after surgery , bilateral P = 0.168 0.05, the difference was not statistically significant ; 6 months postoperatively , bilateral P = .413 0.05 , no significant difference between the two groups ; after December , bilateral P = 1.000 0.05 , the two groups no significant difference ; 18 months after surgery , bilateral P = 0.302 0.05, the