Wang Tian-Chong, Bao Qin-de, Duan Wang-Ping, Zhang Bo, Wei Xiao-Chun
Department of Orthopaedics, the Second Hospital of Shanxi Medical University, Shanxi Key of Bone and Soft Tissue Injury Repair, Taiyuan 030001, Shanxi, China.
Department of Orthopaedics, the Second Hospital of Shanxi Medical University, Shanxi Key of Bone and Soft Tissue Injury Repair, Taiyuan 030001, Shanxi, China;
Zhongguo Gu Shang. 2016 Sep 25;29(9):787-790. doi: 10.3969/j.issn.1003-0034.2016.09.003.
To study clinical effects of fibular osteotomy for the treatment of knee osteoarthritis.
From January 2015, 12 patients (15 knees) with knee osteoarthritis were treated with fibular osteotomy. The main symptom was interval inside pain. All the patients were female with an average age of 61.3 years old. Early postoperative ambulation of joints was carried out after surgery, and the corresponding radiographic assessment before and after operations were performed with record. Finally, the following indicators were analyzed:VAS, KSS, HSS, respectively before, 2 days and 2 months after the operation.
The average hospitalization time was (6.0±2.4) days, and the time of unilateral operation was (33.3±8.4) minutes without significant bleeding. There were no obvious complications such as wound infection, delayed healing and nerve damage. All the patients could walk around 1 day after operations with a chief complaint of the obvious reduction or disappear of the interval medial knee pain. The VAS score, HSS score and KSS clinical score were significantly improved 2 days after surgery compared to the scores before operation. These above scores and functional score were significantly improved 2 months after operation compared to the scores before operation. X ray films of the weight bearing knees were taken 2 days after surgery, showing increased height of medial joint space to some extent compared to that before operation.
A fibular osteotomy has been proved to significantly reduce the postoperative pain and facilitate the good recovery of joint function with the advantages of simple surgical procedures and slighttrauma. Therefore, it is an effective method for the treatment of knee osteoarthritis with varus deformity.
探讨腓骨截骨术治疗膝关节骨关节炎的临床效果。
自2015年1月起，对12例（15膝）膝关节骨关节炎患者行腓骨截骨术治疗。主要症状为膝关节内侧间隙疼痛。所有患者均为女性，平均年龄61.3岁。术后早期进行关节活动，并在术前、术后进行相应的影像学评估并记录。最后分析术后2天、2个月及术前的视觉模拟评分（VAS）、膝关节协会评分（KSS）、美国特种外科医院膝关节评分（HSS）。
平均住院时间为（6.0±2.4）天，单侧手术时间为（33.3±8.4）分钟，术中出血少。未出现伤口感染、延迟愈合及神经损伤等明显并发症。所有患者术后1天即可下地行走，主要诉膝关节内侧间隙疼痛明显减轻或消失。术后2天VAS评分、HSS评分及KSS临床评分较术前明显改善。术后2个月上述评分及功能评分较术前明显改善。术后2天拍摄负重膝关节X线片，显示内侧关节间隙高度较术前有所增加。
腓骨截骨术可明显减轻术后疼痛，促进关节功能良好恢复，且手术操作简单、创伤小。因此，是治疗伴有内翻畸形的膝关节骨关节炎的有效方法。
