Non-surgical treatment of knee osteoarthritis preliminary follow-up observation.doc

 PAGE \* MERGEFORMAT 8 Non-surgical treatment of knee osteoarthritis preliminary follow-up observation [Keywords:] Osteoarthritis Osteoarthritis is a form of degeneration and loss of articular cartilage and joint edges and under the regeneration of cartilage is characterized by chronic arthritis. More common in the knee, especially the obese elderly population, seriously affecting the quality of life of older persons. Treatment are more non-surgical treatments include physical therapy, braces, walkers, non-steroidal anti-inflammatory analgesic drug use, surgical approach to the rinse from the arthroscopic surgery such as total knee replacement. Our hospital from June 2003 to October 2006 application of tibia joint puncture and intra-articular sodium hyaluronate injections with Salvia knee osteoarthritis (OA) 109 cases, results were satisfactory. A clinical data 1  1 General information This group of 109 cases, male 49 cases, female 60 cases; age 54 to 81 years, mean 68 years; course of 2 months to 20 years, an average of 11  5 years; Danxi 52 cases, 57 cases of knees; diagnostic 1995 years, developed by the American Rheumatism Association diagnostic criteria of osteoarthritis. 1  2 treatment 1  2  1 tibia needle decompression Patient supine on the tibial tubercle 0  5 cm draw a perpendicular to the tibial long axis of the ring, in the ring at intervals of 1 cm mark on the five-point (on the tibial tubercle, and two points both inside and outside) as the puncture point, conventional disinfection shop alone, 0  5% lidocaine local anesthesia to the periosteum, choose 2  5 cm perpendicular to the bone surfaces with Kirschner wire hand drill to penetrate into the marrow cavity (with a sense of frustration). 1  2  2 intra-articular drug injection On the side line of the patella within the joint cavity puncture, there is fluid out as far as possible, after the aseptic packaging of sodium hyaluronate injection (trade name Sofastin, Shand