关节镜下髌股关节去神经化联合胫骨高位截骨术在膝骨关节炎中的应用效果

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Abstract Objective To investigate the effect of arthroscopic patellofemoral denervation combined with high tibial osteotomy in the treatment of knee osteoarthritis. Methods A total of 100 patients with varus medial tibiofemoral arthritis with patellofemoral arthritis treated in the Nanchang First Hospital from January 2019 to December 2020 were selected as the research objects. According to the wishes of the patients, they were divided into arthroscopy group and total knee arthroplasty group, with 50 cases in each group. Arthroscopic radiofrequency denervation of patellofemoral joint combined with high tibial osteotomy was performed in the arthroscopic group, and total knee arthroplasty was performed in the artificial total knee arthroplasty group. The operation related conditions, hospital for special surgery(HSS)knee score,Lysholm knee score and visual analogue scale(VAS)were compared between the two groups at discharge,and the changes in hemoglobin levels before and after operation were counted. Results The intraoperative blood loss in the arthroscopic group was less than that in the total knee arthroplasty group, the difference was statistically significant(P＜0.05). The perioperative blood transfusion in the arthroscopic group was less than that in the total knee arthroplasty group, the difference was statistically significant (P＜0.05). The operation time and postoperative residence time in the arthroscopic group were shorter than those in the total knee arthroplasty group, the differences were statistically significant (P＜0.05). The HSS knee score and Lysholm knee score in arthroscopy group were higher than those in total knee arthroplasty group, the differences were statistically significant (P＜0.05). The VAS score in arthroscopy group was lower than that in total knee arthroplasty group, the difference was statistically significant (P＜0.05). The hemoglobin level in arthroscopy group was higher than that in total knee arthroplasty group, the difference was statistically significant (P ＜0.05). Conclusion For patients with knee osteoarthritis who need knee arthroplasty, radiofrequency denervation of patellofemoral joint combined with high tibial osteotomy under arthroscopy has the advantages of less trauma, rapid postoperative recovery, effective improvement of joint function and less postoperative chronic pain.

Key words： Arthroscopy Patellofemoral joint Neuralization Knee osteoarthritis High tibial osteotomy

Received: 04 June 2021

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[14]	张二瑞，黄遂柱.膝关节骨性关节炎诊断及治疗的研究[J].医学信息，2021，34（12）：58-60.
[15]	白雪剑.关节镜下手术治疗老年性骨关节炎的临床疗效观察[J].中国冶金工业医学杂志，2021，38（3）：319-320.
[1]	林晓东，刘文刚，许学猛，等.单髁置换优于开式胫骨高位截骨：力学参数及膝关节功能的差异[J].中国组织工程研究，2021，25（30）：4793-4798.
[2]	刘培，肖毅.“骨正筋柔”理论在胫骨高位截骨术治疗膝骨关节炎中的运用探讨[J].中医研究，2021，34（5）：3-7.
[3]	李朋斌，马小松，杜中华，等.胫骨高位截骨术治疗膝内翻骨性关节炎临床研究[J].检验医学与临床，2021，18（7）：986-989.
[4]	赵志，周新社，吴敏，等.胫骨高位截骨术与单髁置换术治疗膝骨关节炎近期疗效观察[J].河北北方学院学报（自然科学版），2021，37（4）：15-19.
[5]	中华医学会骨科学分会关节外科学组.骨关节炎诊疗指南(2018 年版)[J].中华骨科杂志，2018，38（12）：705-715.
[6]	郑守超，石晶，王峰，等.关节镜下半月板成形术治疗膝关节半月板损伤患者的效果观察及对Lysholm 评分、关节生理功能的影响[J].解放军医药杂志，2021，33（3）：82-86.
[7]	张蒙，刘培来，卢群山，等.成人脊柱畸形调查及其对膝关节疼痛 VAS 评分的影响[J].实用骨科杂志，2020，26（6）：535-538.
[8]	雷超海，马遇伯，王鸿叶，等.胫骨高位截骨术与单髁置换术治疗内侧间室骨性关节炎疗效的Meta 分析[J].中国现代医生，2021，59（7）：84-88.
[9]	周观明，刘效仿，管明强，等.改良内侧开放式胫骨高位截骨术治疗膝内侧间室骨性关节炎[J].组织工程与重建外科，2021，17（1）：54-56.
[10]	李宗明.胫骨高位截骨术联合关节镜治疗老年内侧间室膝骨关节炎患者的短期疗效[J].系统医学，2021，6（3）：36-38.
[11]	杨勇，赵良虎，黄金，等.胫骨内侧高位截骨对单纯内侧间室膝关节骨关节炎患者滑液中炎性因子及软骨降解因子的影响[J].中国中医骨伤科杂志，2021，29（4）：73-76.
[12]	谢国庆，金文孝，杨坤，等.胫骨高位截骨术与单髁置换术治疗膝内侧间室骨关节炎的疗效[J].临床骨科杂志，2021，24（2）：211-215.
[13]	杨梦其，王慧，李杰，等.Taylor 空间外固定架联合胫骨高位截骨术对膝骨性关节炎并膝内翻患者膝关节功能的影响[J].临床和实验医学杂志，2021，20（6）：639-642.