Clinical Observation Of Arthroscopic Debridement Combined With Needle Knife Therapy For Senile Knee Osteoarthritis

Objective:Knee osteoarthritis(KOA)is one of the most common diseases in the elderly,which seriously affects the quality of life.Arthroscopic surgery for the treatment of KOA has been widely used in clinical practice.However,there are still some problems such as local pain of knee joints,which leads to slow recovery.As a new method of modern Chinese medicine,small knife therapy has definite curative effect in clinical application.This study tries to integration of arthroscopic surgery and small knife therapy in the treatment of knee joint disease,and observes whether to relieve pain and promote recovery.The ultimate goal is to provide a new way of thinking for the treatment of KOA combined traditional Chinese medicine with modern medicine,and guides clinical practice better.Methods:In strict accordance with diagnostic criteria of traditional Chinese medicine and modern medicine,inclusion criteria and exclusion criteria,we selected patients admitted to the department of orthopedics ward and the data were complete,were randomly divided into experimental group and control group,each group of 30 cases.The experimental group was treated with arthroscopic surgery and small knife therapy,while the control group was treated with arthroscopic surgery.Before treatment,gander,age,course,K-L grading of X-ray,VAS score and Lysholm score were collected.After treatment,the changes of VAS score and Lysholm score of the 2 groups were observed at 1 month,3 months and 6 months later.Statistics using SPSS 18.0 statistical software,count data using chi square test,measurement data using paired t test,which P<0.05 considered statistically significant.Results:The trial included 60 patients,experimental group and control group after treatment,the clinical symptoms were significantly alleviated,and treatment effect was satisfactory.(1)Before the treatment of the two groups of patients were randomly assigned,and gender,age,course of disease,K-L grading,VAS score and Lysholm score were not significantly different,without statistical significance and comparable.(2)Follow up in 1 month.The VAS score between the two groups were compared,t=2.115,p=0.039<0.05;the two groups compared with before treatment,p=0.000<0.05;Lysholm score between the two groups were compared,t=2.411,p=0.019<0.05;the two groups compared with before treatment,p=0.000<0.05.(3)Follow up in 3 months.The VAS score between the two groups were compared,t=2.365,p=0.021<0.05;the two groups compared with before treatment,p=0.000<0.05,the experimental group compared to 1 month after treatment,p=0.000<0.05,the control group compared to 1 month after treatment,p=0.000<0.05;Lysholm score between the two groups were compared,t=5.349,p=0.000<0.05;the two groups compared with before treatment,p=0.000<0.05,the experimental group compared to 1 month after treatment,p=0.000<0.05,the control group compared to 1 month after treatment,p=0.000<0.05.(4)Follow up in 6 months.The VAS score between the two groups were compared,t=1.241,p=0.220>0.05;the two groups compared with before treatment,p=0.000<0.05,the experimental group compared to 1 month after treatment,p=0.000<0.05,the control group compared to 1 month after treatment,p=0.000<0.05,the experimental group compared to 3 months after treatment,p= 0.001<0.05,and the control group compared to 3 months after treatment,p=0.000<0.05;Lysholm score between the two groups were compared,t=1.959,p=0.055>0.05;the two groups compared with before treatment,p=0.000<0.05,the experimental group compared to 1 month after treatment,p=0.000<0.0,5 the control group compared to 1 month after treatment,p=0.000<0.05,the experimental group compared to 3 months after treatment,p=0.000<0.05,the control group compared to 3 months after treatment,p=0.012<0.05.Conclusion:Arthroscopic surgery is effective in the treatment of KOA.The addition of small knife therapy in experimental group can obviously relieve pain and promote recovery,which is better than control group.Arthroscopic surgery combined with small knife therapy has certain clinical effect and advantage,especially in alleviating pain and promoting recovery.At the same time,it has high safety,operability,small trauma,reduce drug use and is a feasible method for the treatment of KOA with the combination of traditional Chinese medicine and modern medicine,which is worthy of popularization and application.