The Efficacy And Medical Imaging Evaluation Of Fibula Osteotomy Combined With Oral Duhuojisheng Decoction In The Treatment Of Knee Osteoarthritis

Objective: To compare the efficacy and medical imaging evaluation of three different treatment methods for arthritis of the medial knee joint compartment.Objective and scientific evaluation of the clinical efficacy and value of the combination of fibula osteotomy and oral Duhuojisheng decoction,providing a safe and effective treatment methods for arthritis of the medial knee joint compartment.Methods: Collect all patients who compliance with inclusion exclusion criteria of fibular osteotomy + oral Duhuojisheng decoction and fibular osteotomy in the inpatient department of Affiliated Hospital of Chengdu University of TCM and Chengdu Second Hospital of TCM since the implementation of fibular osteotomy.And collect the complete medical records which can be kept by the outpatient system of the Affiliated Hospital of Chengdu University of TCM and meet the inclusion criteria?exclusion criteria for the patients who took Duhuojisheng decoction orally in the past three years.They were named as operation group + TCM group,operation group and TCM group.Collecting and eliminating according to the standard of inclusion and exclusion.The corresponding indicators collected were 1,3 and 6 months before and after treatment respectively,including the following aspects:(1)General information;(2)TCM efficacy standards;(3)VAS score;(4)HSS score;(5)Knee joint gap angle;(6)FTA;(7)Safety test results and evaluation.After the collection of relevant data was completed,SPSS 21.0 statistical software was used for analysis and processing,and then a conclusion was drawn.Results:1.According to the effective rate of traditional Chinese medicine,the three treatment methods have good therapeutic effect.The effective rate of the operation + TCM group was 93.75%,2 cases were cured and 8 cases were markedly effective.The number of effective,curedand markedly effective cases was significantly higher than that of the other two groups.The number of effective and marked cases in TCM group increased gradually with the passage of treatment time,and the effective rate increased gradually.After 3 months and 6 months of treatment,P <0.05,there was significant difference among the three groups.2.The VAS scores of knee joint after 1 month,3 months and 6 months of treatment were significantly different(P < 0.05).Compared with the operation + TCM group,the VAS scores of the operation group and the the TCM group increased significantly in 1 month,3 months and 6 months after treatment,the difference was significant(P < 0.05).3.The HSS scores after 1 month,3 months and 6 months of treatment were significantly different(P < 0.05).Compared with the operation +TCM group,the HSS scores of the operation group and the the TCM group decreased significantly in 1 month,3 months and 6 months after treatment,the difference was significant(P < 0.05).4.There were significant differences in the knee joint gap angle and FTA angle between the the operation + TCM group and the operation group after 1 month,3 months and 6 months of treatment(P < 0.05).In the TCM group,P > 0.05 after 1 month,3 months and 6 months of treatment,there was no significant difference.Compared with the TCM group,the knee joint gap angle of the operation + TCM group and the operation group decreased significantly in 1 month,3 months and 6 months after treatment,the difference was significant(P < 0.05).Compared with the operation + TCM group,FTA angle in the operation group and the TCM group increased significantly in 3 months and 6 months after treatment,the difference was significant(P < 0.05).Compared with the operation group,FTA angle in the TCM group increased significantly in 3 months and 6 months after treatment,the difference was significant(P < 0.05).5.A total of 44 patients in the three groups had a total of 8 adversereactions.The results of adverse reactions in the three groups were all P >0.05,and the difference was not statistically significant.Conclusion: 1.The three treatment methods of peroneal osteotomy +orally Duhuojisheng decoction,the peroneal osteotomy group and orally Duhuojisheng decoction group all had good therapeutic effects on arthritis of the medial knee joint compartment.2.The imaging changes of knee joint in operation + TCM group and operation group were obviously better than those in TCM group.Operation+ TCM group and operation group can significantly change the anatomical position of the knee joint,slow down the development process of varus deformity and restore the lower limb strength line.However,the oral duhuojisheng decoction group could not.3.The clinical effect of fibula osteotomy combined with Duhuojisheng decoction on arthritis of the medial knee joint compartment was better than that of the other group.This method has the advantages of simple operation,quick recovery and low cost,and has certain clinical practical value.4.No serious adverse reactions occurred in the treatment of arthritis of the medial knee joint compartment,in the three groups,and the treatment was safe and effective.