Clinical Efficacy Of Acupotomy Treatment Of Genu Varum And Genu Valgum

Objective: The genu varum,the genu valgum are the knee joint form to the flank or the inside have the angle to be abnormal.Abnormal is the comparison sees in the lower limb.Genu varum,genu valgum origin since birth rationality and pathological two kinds.The physiology has the angle abnormally many because long-term posture not when creates in the knee joint the flank soft tissue strength balance detuning,does not have other causes.Pathological many because the obvious disease causes,like obese,rickets,flesh wound,inflammation,congenital skeleton growth barrier disease(Blount sickness),tumor,polio and brain paralysis and so on,may cause the lower limb line of force arrangement disorder.Some research indicated the two-sided genu varum,approximately composes 25%,the two-sided genu valgum approximately composes above 3/5.The light influence patient lower limb is artistic,heavy even affects the patient lower limb movement function,the disposition,the family and even the life aspects.Therefore appears regarding this disease prevention and the correction treatment more and more importantly.Methods: From January 2017 to December 2019,24 cases(48 knee)patients with knee roll and knee rollage were treated with needles and knives in Huangjiahu Hospital,Hubei University of Chinese Medicine,including 12 cases(24 knees)in male patients and 12(24 knees)in female patients,2 Four patients were between the ages of 9 and 29,with an average age of 19.5 years(19.5±6.74y),with a course of 3 to 25 years,and an average course of 12.92 years(12.92±6.21)with 12 cases in the knee,12 cases of extraknee rollover.All patients are ionic knee or out-of-knee.The average internal spacing of the two-knee joint spacing in the knee-turning child is 11.75cm(11.75±1.91cm),and the average angle of the knee TFA(the strand backbone mechanical axis and the dissote axis angle-the feline angle)is 12.75 °(12.75±1.85 °).Knee rollover suffers from knee flexor activity ROM73.29 °(73.29±11.41 °).The average intra-ankle spacing of the two-sided ankle of a child with an out-of-knee turn is 12.67cm(12.67±2.50cm),the average knee TFA for all knee-turning cases is 12 °(12±2.11)°,and the knee flexive activity of the knee is ROM70.04 °(70.04±13.22)°.All patients with knee-length knee joint needle knife overall loose surgery,respectively,before treatment,after treatment l months walk the full-length flat plate examination of the double lower limb,and assess its gait,double lower limb morphology changes.The contents include:(1)Intermalleolar(IM)and Intercondylar(IC),(2)Tibiofemoral angle(TFA),(3)changes in knee flexive activity(Range of motion,ROM),(4)total efficiency after treatment.Experimental data processing is analyzed using SPSS 22.0 statistical software.Results: After all patient technique the cutting edge place cicatrization is good,the average cicatrization time is 3 days,does not have complications and so on infection,hemorrhage.Revisit time 1 month.The patient gait has the great degree improvement.Genu varum case of illness,end when revisit the double knee joint inside spacing is equally 2.08cm(2.08±0.67cm),contracts knee TFA is equally 3.17cm(3.17±1.31 cm).Trouble knee ROM120.33°(120.33 ± 4.11)°.total efficiency after treatment is 100%.Genu valgum case of illness,end when revisit the double protuberance of the ankle spacing is equally 2.33cm(2.33±0.49cm),contracts knee TFA is equally 3.41cm(3.41±1.25cm).Genu valgum trouble knee ROM123.67°(123.67±5.00)°.Total efficiency after treatment is 100%.After statistics analysis,the genu varum,genu valgum stock shin angle(TFA),the double knee joint or in front of the malleolus joint spacing,knee joint activity(ROM)and the technique quite are even have remarkable difference(P<0.01)Conclusion: 1.The needle knife treatment within the knee to knee,flip deformities is a safe and effective method.To correct the knee to the lower extremities,both within and outside the patient's appearance,improved functionality is evident.2.The needle knife treatment inside and outside the knee fold should be normalized using the pin tool overall,the technology for clinical application and promotion.3.Sufficient growth potential is the key to the satisfaction of the therapeutic efficacy.However,due to the small number of cases,part of the case up a short time,in order to obtain more accurate correction of trends,as well as whether there is a relapse may also be subject to further study.