Li Xiaoyan, You Kangwon
Department of Physical Education, Jinzhong University, Jinzhong 030619, China.
Department of Physical Education, Jeonju University, Jeonju 55069, South Korea.
Heliyon. 2024 Aug 2;10(16):e35575. doi: 10.1016/j.heliyon.2024.e35575. eCollection 2024 Aug 30.
ObjectiveTo observe the effect of light walking combined with arthroscopic surgery on the efficacy and Bone Mineral Density (BMD) of patients with ankle arthritis. 180 patients with ankle arthritis were retrospectively selected, who were divided into a control group (Group A) and an experimental group (Group B) according to treatment methods, with 90 patients in each group. Group A was treated with conventional open surgery and Group B was treated with light walking combined with arthroscopic surgery. The two groups were compared before and after treatment on scales such as the AOFAS ankle hindfoot score. Meanwhile, the patients' BMD and levels of inflammatory factors such as tumor cell necrosis factor-α (TNF-α) were compared before and after treatment. The Kofoed and AOFAS scale scores were higher for mild walking combined with arthroscopic surgery than for conventional treatment ( < 0.05), and their pain visual analogue VAS scores were lower than for conventional treatment ( < 0.05). In Group B, the postoperative BMD increase was significantly higher ( < 0.05). The R-value between PDGF bone growth factor and BMD was 0.957 and the R-value between VEGF growth factor and BMD was 0.903. The R-value between patient age and BMD was -0.936 and the R-value between patient BMI and BMD was -0.913. The treatment efficiency in Group B was 96.7 %. The results prove that light walking combined with arthroscopic surgery is suitable for the surgical treatment of patients with ankle arthritis because it has a better therapeutic effect and makes patients' BMD level improved.
观察轻度步行联合关节镜手术对踝关节关节炎患者疗效及骨密度（BMD）的影响。回顾性选取180例踝关节关节炎患者，根据治疗方法分为对照组（A组）和试验组（B组），每组90例。A组采用传统开放手术治疗，B组采用轻度步行联合关节镜手术治疗。对两组患者治疗前后的美国足与踝关节协会（AOFAS）踝后足评分等量表进行比较。同时，比较两组患者治疗前后的骨密度及肿瘤细胞坏死因子-α（TNF-α）等炎症因子水平。轻度步行联合关节镜手术治疗后的Kofoed和AOFAS量表评分高于传统治疗（P<0.05），其疼痛视觉模拟评分（VAS）低于传统治疗（P<0.05）。B组术后骨密度增加显著更高（P<0.05）。血小板衍生生长因子（PDGF）骨生长因子与骨密度的相关系数R值为0.957，血管内皮生长因子（VEGF）生长因子与骨密度的相关系数R值为0.903。患者年龄与骨密度的相关系数R值为-0.936，患者体重指数（BMI）与骨密度的相关系数R值为-0.913。B组治疗有效率为96.7%。结果证明，轻度步行联合关节镜手术对踝关节关节炎患者的手术治疗效果较好，能提高患者骨密度水平，适合应用于临床治疗。
