Observation on the Early Efficacy of HTO Combined with Knee Arthroscopy in the Treatment of Osteoarthritis
1.Boshan Hospital of Traditional Chinese Medicine
2.Zibo Department of Traditional Chinese and Western Medicine Hospital
3.Peking Union Medical College，Chinese Academy of Medical Sciences
4.Qilu Hospital，Shandong University
Abstract：Objective To explore the early postoperative efficacy of combining high tibial osteotomy (HTO)with knee arthroscopy for the treatment of knee osteoarthritis.Methods The study included 25 patients who underwent HTO treatment for knee osteoarthritis at the Department of Arthritis，Qilu Hospital of Shandong University between July 2020 and June 2021.The patients consisted of 11 males and 14 females，with ages ranging from 47 to 65 years (mean age：53.84±5.08 years).The study recorded changes in blood indicators before and after surgery，intraoperative bleeding and postoperative drainage volumes，and the occurrence of complications.Follow-up visits were conducted at 6 weeks，3 months，and 6 months after surgery，and the knee joints were evaluated using the visual analogue scale (VAS)and the Hospital for Special Surgery (HSS)Knee Score to assess function and efficacy.Results All patients successfully completed the operation without any serious complications.There were statistically significant differences in some preoperative and postoperative hematological indicators.The preoperative VAS (6.52±1.16)and the postoperative score at 6 months (0.92±0.76)showed statistically significant improvement (P＜0.05)，as did the preoperative HSS (75.16±5.42)and the postoperative score at 6 months (92.36±2.84)(P＜0.05).Conclusion Combining HTO with knee arthroscopy for the treatment of knee osteoarthritis resulted in less intraoperative ischemia and significant improvement in early knee function.These findings suggest that this approach has potential for clinical promotion and application.
刘明星，郝杰，李松林，苗壮，韩凯飞，刘培来. HTO联合膝关节镜治疗膝骨关节炎的早期疗效观察[J]. 实用骨科杂志, 2023, 29(10): 912-.
Liu Mingxing，Hao Jie，Li Songlin，Miao Zhuang，Han Kaifei，Liu Peilai. Observation on the Early Efficacy of HTO Combined with Knee Arthroscopy in the Treatment of Osteoarthritis. sygkzz, 2023, 29(10): 912-.
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