| 李亚楠,田军营,杨洸,程真真,李麦朵,席林,盛录.膝内翻矫形器械治疗膝关节骨性关节炎的临床观察[J].中国康复,2024,39(9):572-576 |
| 膝内翻矫形器械治疗膝关节骨性关节炎的临床观察 |
| Clinical observation of the knee varus orthosis in the treatment of knee osteoarthritis patients |
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| DOI：10.3870/zgkf.2024.09.012 |
| 中文关键词: 骨性关节炎 膝内翻 矫形器械 膝关节 |
| 英文关键词: osteoarthritis knee varus orthosis knee |
| 基金项目:河南省中医药科学研究专项课题（20-21ZY1059）；中医药传承与创新人才工程（仲景工程）中医药学科拔尖人才；第五批全国中医临床优秀人才研修项目 |
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| 中文摘要: |
| 目的：探讨膝内翻矫形器械对膝关节骨性关节炎（KOA）患者的影响。方法：选择合并膝内翻的KOA患者60例，随机分为观察组和对照组。2组均采用基础治疗，在此基础上观察组采用膝内翻矫形器械，对照组采用常规牵引治疗。治疗4周后，采用疼痛视觉模拟评分(VAS)、关节活动度(ROM)、西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、美国特种外科医院膝关节评分(HSS)、胫股角(TFA)、膝间距(IC)评价膝关节功能。结果：4周治疗后，2组VAS、WOMAC、IC评分均较治疗前降低（P＜0.01），观察组均低于对照组（P＜0.01）；2组HSS、TFA评分均较治疗前提高，观察组均高于对照组（P＜0.01，0.05）；2组组内和组间ROM评分比较差异无统计学意义。结论：膝内翻矫形器械可以减轻KOA患者的疼痛，提高活动功能，改善膝关节生物力线，减缓膝内翻进展，值得临床推广应用。 |
| 英文摘要: |
| Objective: To explore the effect of knee varus orthosis on patients with knee osteoarthritis. Methods: A total of 60 knee osteoarthritis patients with knee varus were selected and randomly divided into an orthosis group and a control group. Both groups received conventional treatment, with the orthosis group receiving knee varus orthosis and the control group receiving traction treatment. After 4 weeks of treatment, knee joint function was evaluated using Visual Analog Scale (VAS), Joint Range of Motion (ROM), Western Ontario and McMaster University Osteoarthritis Index (WOMAC), United States Hospital of Special Surgery Knee Score (HSS), Tibiofemoral Angle (TFA), and Knee Distance (IC). Results: After 4 weeks of treatment, the VAS, WOMAC, and IC scores of both groups decreased compared to those before treatment (P<0.01), and those in the observation group were lower than in the control group (P<0.01). After treatment, the HSS and TFA scores of both groups were improved compared to those before treatment, and those in the observation group were higher than those in the control group (P<0.01,0.05). There was no statistically significant difference in ROM scores within and between the 2 groups. Conclusion: Knee varus orthosis can alleviate pain, improve knee function, improve lower limbs biomechanics, and slow down the progression of knee varus in KOA patients. It is worthy of clinical promotion and application. |
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