关节镜清理术与尺骨鹰嘴窝增容成形术治疗肘关节炎的疗效比较。

Comparison of Therapeutic Effects Between Arthroscopic Debridement and Olecranon Fossa Augmentation Plasty for Elbow Osteoarthritis.

出版信息

Altern Ther Health Med. 2023 Nov;29(8):292-296.

Abstract

AIM

To compare the efficacy of arthroscopic debridement and olecranon fossa augmentation plasty in patients with elbow osteoarthritis.

METHODS

Eighty-four patients with elbow osteoarthritis admitted to our hospital were randomly divided into two groups with 42 cases in each group. Patients in the control group received expanded olecranon fossa plasty, while those in the observation group underwent arthroscopic debridement. Then the elbow joint function, VAS score, stress level, and incidence of complications were compared between the two groups.

RESULTS

The MEPS score, ROM level, and VAS score, as well as the expression of TNF-α, IL-6, and ACTH between the two groups, were significantly different before and after surgery (P < .05). Moreover, compared to patients in the control group, the MEPS score and ROM level of patients in the observation group were higher than those in the control group after six months since surgery, while VAS score, the levels of TNF-α, IL-6, and ACTH were lower on the second day after surgery (P < .05).

CONCLUSION

Arthroscopic cleaning is more helpful in improving elbow joint function and alleviating pain in patients with osteoarthritis of the elbow compared to olecranon fossa augmentation and reconstruction surgery.

摘要

目的

比较关节镜清理术和尺骨鹰嘴窝增容成形术治疗肘关节炎的疗效。

方法

将我院收治的 84 例肘关节炎患者随机分为两组，每组 42 例。对照组患者接受扩大鹰嘴窝成形术，观察组患者行关节镜清理术。比较两组患者的肘关节功能、VAS 评分、应激水平及并发症发生率。

结果

两组患者手术前后 MEPS 评分、ROM 水平及 VAS 评分，以及 TNF-α、IL-6、ACTH 表达均有明显差异（P<0.05）。与对照组相比，观察组患者术后 6 个月 MEPS 评分和 ROM 水平均高于对照组，而术后第 2 天 VAS 评分、TNF-α、IL-6、ACTH 水平均低于对照组（P<0.05）。