世界中医药2018,Vol.13Issue(6):1401-1404,4.DOI:10.3969/j.issn.1673-7202.2018.06.022
坚骨胶囊联合关节镜和胫骨高位截骨在膝骨性关节炎伴膝内翻畸形治疗的应用研究
Application Study of Bone Strengthening Capsule Combined with Arthroscopy and High Tibial Osteotomy in the Treatment of Knee Osteoarthritis with Genu Varus Deformity
摘要
Abstract
Objective:To explore the application effect of bone strengthening capsule combined with arthroscopy and high tibial os -teotomy in the treatment of knee osteoarthritis with genu varus deformity.Methods:A total of 82 cases of knee osteoarthritis with genu varus deformity from August 2015 to August 2016 in our hospital were randomly divided into the control group and the obser-vation group,each with 41 cases.The control group was treated with arthroscopy and high tibial osteotomy ,and the observation group was treated with the bone strengthening capsule on the basis of the control group .The knee function score ( HSS ),pain score ( VAS ),femoral and tibial angle,medial knee gap distance and quality of life score ( SF-36 ) were compared between the two groups before and after treatment.The therapeutic effects of the two groups were observed.Results:The total effective rate of the observation group was 92.68%(38/41),which was higher than that of the control group (70.73%) (29/41)( P<0.05). After treatment,compared with the control group ,the HSS score of the observation group was increased ,VAS score decreased( P<0.05 ).The femoral and tibial angles of the observation group was decreased ,and the inner space of the knee joint was increased compared with the control group after treatment ( P<0.05 ).And SF-36 score of the observation group was improved (P<0.05). Conclusion:bone strengthening capsule combined with arthroscopy and high tibial osteotomy in the treatment of knee osteoarthritis with genu varus deformity ,can effectively increase the medial knee joint gap ,reduce the femoral tibial angle ,relieve the pain of pa-tients,promote the recovery of the knee joint function ,and improve the quality of life.关键词
膝骨性关节炎/膝内翻畸形/坚骨胶囊/关节镜/胫骨高位截骨/膝关节功能/VAS评分Key words
Knee osteoarthritis/Genu varum deformity/Bone strengthening capsule/Arthroscopy/High tibial osteotomy/Knee joint function/VAS score分类
医药卫生引用本文复制引用
邢宝瑞,郭东辉,李晓明,侯秀秀,马世强,韩广普..坚骨胶囊联合关节镜和胫骨高位截骨在膝骨性关节炎伴膝内翻畸形治疗的应用研究[J].世界中医药,2018,13(6):1401-1404,4.基金项目
河北省中医药管理局2017度科研计划课题(2017136)——坚骨胶囊联合关节镜和胫骨高位截骨在膝骨性关节炎治疗的应用研究(2017136) (2017136)