Clinical Observation On The Treatment Of Osteoarthritis Of Knee Joint By Bone Section Of Fibula Combined With Fumigation And Salve

Objective:To observe the clinical effect of transfibular osteotomy combined with Shu jin huoxue Prescription in the treatment of knee osteoarthritis(knee OSTEO arthritis} Koa).The improvement of clinical symptoms and function in patients with Koa with knee varus deformity was studied,and to explore the mechanism of its action to treat light-to-medium Koa,and to provide the best possible treatment for the disease.TO improve the pain symptoms of patients and alleviate the adverse effects of the disease,the rehabilitation of the majority of elderly patients brought benefits.Methods: The subject of the study is our orthopedic Inpatient,According to the Chinese and western diagnostic criteria,X-ray of imaging examination about knee osteoarthritis(dividing 5 levels),Inclusion and exclusion criteria in 40 cases of mild to moderate knee Varus,The group that treat group(peroraling Shu jin huoxue Prescription +proximal fibular esteotomy),anthor(proximal fibular esteotomy),20 patients in each group.we given health education,resisting infection three days after operation,activing joint function exercise under the guidance of a doctor,sparing 7-10 days in hospital.Treatment group was given Shu jin huoxue Prescription in third day after operation for one month,control group is nothing.Appling HSS knee score and VAS score between the two groups befor and after the end of six months treatment,including pain,daily functions to Scoring and recording.By comparing the therapeutic effects of the two groups,all the data were built into a database and analyzed using SPSS 20.0 statistical software.Results: The clinical effect of 6 months of treatment of Proximal Fibula osteotomy plus external vascularization and simple proximal fibula osteotomy were compared.There were significant differences before treatment of HSS and Vas(p < 0.05).Comparison among groups: After 6 months of treatment,there was significant difference between the treatment group with subperoneal osteotomy plus external diastolic blood group and subperoneal osteotomy group with HSS score system and the treatment group with vas score using combined therapy(p < 0.05)Conclusion: The Koa Treatment with mild and moderate knee Varus is better than that with Peroneus osteotomy alone.It can improve the degree of joint movement,relieve pain,promote local blood circulation,improve lower limb force line,correct Varus deformity and restore good joint movement.Fibula proximal osteotomy plus external vascularization for early treatment of Varus knee arthritis has good therapeutic effect and clinical experience,and can better serve patients suffering from disease.