胫骨平台穿刺支撑术治疗老年膝骨关节炎102例疗效观察
102 clinical observations of tibial plateau puncture support surgery in the treatment of senile knee osteoarthritis
  
DOI:10.3969/j.issn.1006-7108.2019.08.019
中文关键词:  老年膝骨关节炎  骨质疏松  膝痛  胫骨平台  支撑术
英文关键词:senile knee osteoarthritis  osteoporosis  knee pain  tibial plateau  support-operation
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刘锋卫1 孙勇1 赵园园1 任飞1 田怿淼2 刘礼初3 杨海韵3 冯峰1 * 1. 河南省洛阳正骨医院/河南省骨科医院河南 洛阳471000 2. 北京中医药大学中医学院北京 100029 3. 广东省佛山市中医院广东 佛山 528000 
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中文摘要:
      目的 观察胫骨平台内侧穿刺减压同时注射骨水泥支撑治疗老年膝骨关节炎膝痛的疗效。方法 采用回顾性研究的方法,分析我院102名老年膝骨关节炎患者的临床疗效,其中实验组52例(减压联合骨水泥组),对照组50例(减压组)。两组手术前后,分别行膝关节KSS评分,并观察影像学指标的变化。结果 膝骨关节炎膝痛患者经骨水泥治疗后,其临床症状缓解,膝内侧疼痛明显减轻,膝KSS临床评分明显提高,术后6~18个月复查,其影像学显示骨内侧水肿明显消失。结论 胫骨平台内侧穿刺减压联合注射骨水泥支撑能显著缓解老年膝骨关节膝痛。
英文摘要:
      Objective To observe the efficacy of medial tibial plateau puncture decompression combined with the injection of bone cement in the treatment of knee pain in elderly patients with knee osteoarthritis. Methods Retrospective study was conducted to analyze the clinical efficacy in 102 elderly knee osteoarthritis patients of our hospital, including 52 patients in the experimental group (decompression combined with bone cement group) and 50 patients in the control group (decompression group). Before and after surgery, two groups’ KSS scores of the knee joints were evaluated, while the changes of imaging indexes were observed. Results After treatment with bone cement, the clinical symptoms of patients with knee osteoarthritis and knee pain were relieved, the pain in the medial knee was significantly reduced, KSS clinical score of the knees were significantly improved, and the re-examination 6 to 18 months after surgery showed that the medial bone edema was disappeared. Conclusion Medial tibial plateau puncture decompression combined with injection of bone cement could significantly alleviate the pain of knee osteoarthritis in the elderly.
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