[1]邓敏明.骨软骨镶嵌移植术与微骨折术治疗膝关节软骨损伤的应用及其对患者膝关节评分及并发症的影响[J].医学信息,2022,35(13):162-164.[doi:10.3969/j.issn.1006-1959.2022.13.040]
　DENG Min-ming.Application of Osteochondral Mosaic Transplantation and Micro-fracture in the Treatment of Knee Cartilage Injury and its Effect on Knee Score and Complications[J].Medical Information,2022,35(13):162-164.[doi:10.3969/j.issn.1006-1959.2022.13.040]
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骨软骨镶嵌移植术与微骨折术治疗膝关节软骨损伤的应用及其对患者膝关节评分及并发症的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年13期
页码:
162-164
栏目:
临床研究
出版日期:
2022-07-01

文章信息/Info

Title:
Application of Osteochondral Mosaic Transplantation and Micro-fracture in the Treatment of Knee Cartilage Injury and its Effect on Knee Score and Complications
文章编号:
1006-1959（2022）13-0162-03
作者:
邓敏明
（资溪县人民医院骨科，江西 资溪 335300）
Author(s):
DENG Min-ming
(Department of Orthopaedics,Zixi County People’s Hospital,Zixi 335300,Jiangxi,China)
关键词:
膝关节软骨损伤; 微骨折术; 骨软骨镶嵌移植术; 膝关节评分; 术后并发症
Keywords:
Knee joint cartilage injury; Micro-fracture; Osteochondral mosaic transplantation; Knee joint score; Postoperative complications
分类号:
R684
DOI:
10.3969/j.issn.1006-1959.2022.13.040
文献标志码:
A
摘要:
目的 研究骨软骨镶嵌移植术与微骨折术治疗膝关节软骨损伤的应用价值及对患者膝关节评分与并发症的影响。方法 选取2019年2月-2020年2月于我院骨科就诊的86例膝关节软骨损伤患者，采用随机数字表法分为对照组和观察组，各43例。对照组采用微骨折术治疗，观察组则应用骨软骨镶嵌移植术治疗，比较两组手术疗效、Lysholm膝关节功能评分以及术后并发症情况。结果 观察组术后4个月手术治疗优良率为48.84%，与对照组的44.19%比较，差异无统计学意义（P＞0.05）；观察组术后1年手术治疗优良率为95.35%，高于对照组的81.40%（P＜0.05）；两组术后4个月Lysholm膝关节功能评分均高于术前，但差异无统计学意义（P＞0.05）；两组术后1年Lysholm膝关节功能评分均高于术后4个月，且观察组高于对照组（P＜0.05）；术后1年观察组术后并发症发生率为6.98%，与对照组的11.63%比较，差异无统计学意义（P＞0.05）。结论 骨软骨镶嵌移植术与微骨折术治疗膝关节软骨损伤均安全、有效，二者近期疗效相当，可有效改善患者的膝关节功能，且术后并发症少，但骨软骨镶嵌移植术远期疗效更为理想。
Abstract:
Objective To study the application value of osteochondral mosaic transplantation and micro-fracture in the treatment of knee cartilage injuries and its impact on patients’ knee scores and complications.Methods A total of 86 patients with knee cartilage injury admitted to our hospital from February 2019 to February 2020 were selected and randomly divided into control group and observation group, with 43 cases in each group. The control group was treated with micro-fracture, and the observation group was treated with osteochondral mosaic transplantation. The surgical efficacy, Lysholm knee function score and postoperative complications of the two groups were compared.Results At 4 months after operation, the excellent and good rate of surgical treatment in the observation group was 48.84%, which was compared with 44.19% in the control group, the difference was not statistically significant (P＞0.05). At one year after operation, the excellent and good rate of surgical treatment in the observation group was 95.35%, which was higher than 81.40% in the control group(P<0.05). Lysholm knee function scores of the two groups at 4 months after operation were higher than those before operation, but the difference was not statistically significant (P＞0.05). The Lysholm knee function score of the two groups at 1 year after operation was higher than that at 4 months after operation, and the observation group was higher than the control group (P<0.05). At one year after operation, the incidence of postoperative complications in the observation group was 6.98%, which was compared with 11.63% in the control group, the difference was not statistically significant (P＞0.05).Conclusion Osteochondral mosaic transplantation and micro-fracture surgery are safe and effective in the treatment of knee cartilage injury. The short-term efficacy of the two methods is equivalent, which can effectively improve the knee function of patients, and have fewer postoperative complications. However, the long-term efficacy of osteochondral mosaic transplantation is more ideal.

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更新日期/Last Update: 1900-01-01