Zhang Jincun, Zou Guoping, Fang Guangwen
Department of Orthopedics, People's Hospital of Baodi District Tianjin 301800, China.
Department of Orthopedics, Longyan First Hospital Affiliated to Fujian Medical University Longyan 364000, China.
Am J Transl Res. 2021 Nov 15;13(11):13099-13107. eCollection 2021.
This study aims to demonstrate the effect of the arthroscopic minimally invasive technique on the clinical symptoms and lower limb functional recovery in knee joint bone trauma patients.
From January 2015 to January 2020, 150 knee joint bone trauma patients were recruited as the study cohort and divided into two groups according to the different intervention method each patient underwent. The patients in the control group (the CG, n=68) were administered routine treatment, and the patients in the research group (the RG, n=82) were treated using the arthroscopic minimally invasive technique. The postoperative clinical operative indexes and the clinical effectiveness, as well as the intraoperative complications were observed in the two groups. The inflammatory factor levels before and after the surgeries were compared. The Visual Analogue Scale (VAS) was employed to evaluate the pain levels before and after the surgeries, the Hospital for Special Surgery Knee Scores (HSS) were used to assess the knee joint recoveries before and at six months after the operations, and the Fugl-Meyer Assessment Scale (FMAS) was used to determine the lower limb functional recovery before and at six months after the operations.
The RG had significantly shorter operation times, lower intraoperative blood losses, shorter average ambulation times, shorter hospital stays, shorter fracture healing times, and smaller incisions than the CG. Postoperatively, the IL-8 and TNF-α levels were significantly lower in the RG than in the CG. The RG exhibited observably lower VAS scores after the operations, as well as evidently higher HSS scores and FMAS scores at six months postoperatively than the CG. In comparison with the CG, the RG had a significantly higher total effective rate and a noticeably lower incidence of postoperative complications.
The arthroscopic minimally invasive technique is effective at treating patients with knee joint bone trauma, and it can promote the surgical recovery of patients and facilitate the functional recovery of the knee joint and the lower limbs.
本研究旨在论证关节镜微创技术对膝关节骨创伤患者临床症状及下肢功能恢复的影响。
选取2015年1月至2020年1月期间的150例膝关节骨创伤患者作为研究队列，根据每位患者接受的不同干预方法分为两组。对照组（CG组，n = 68）患者接受常规治疗，研究组（RG组，n = 82）患者采用关节镜微创技术治疗。观察两组患者术后的临床手术指标、临床疗效以及术中并发症情况。比较手术前后的炎症因子水平。采用视觉模拟评分法（VAS）评估手术前后的疼痛程度，采用美国特种外科医院膝关节评分（HSS）评估手术前及术后6个月时的膝关节恢复情况，采用Fugl-Meyer评估量表（FMAS）测定手术前及术后6个月时的下肢功能恢复情况。
与CG组相比，RG组的手术时间明显更短、术中出血量更少、平均下床活动时间更短、住院时间更短、骨折愈合时间更短且切口更小。术后，RG组的IL-8和TNF-α水平明显低于CG组。RG组术后的VAS评分明显更低，术后6个月时的HSS评分和FMAS评分明显更高。与CG组相比，RG组的总有效率明显更高，术后并发症发生率明显更低。
关节镜微创技术治疗膝关节骨创伤患者疗效显著，可促进患者手术恢复，利于膝关节及下肢功能恢复。
