Clinical Research Of Bushenshujin Huoxue Decoction Combined With Distal Tibial Tuberosity Of High Patientstibial Osteotomy In The Treatment Of Knee Osteoarthritis

Objective:By observing the changes of the VAS scores、 swelling data and the knee joint function before and after the treatment,to get the judgement about the short period clinical efficacy differences between the two groups with the distal tibial tuberosity of high tibial osteotomy and which combined with bushenshujinhuoxue decoction in the treatment of knee osteoarthritis patients with varus deformity,to estimate the significance of the advantage of the combination of the bushenshujinhuoxue decoction and the distal tibial tuberosity of high tibial osteotomy in the treatment of knee osteoarthritis patients with varus deformity so that we wish to be able to provide a preliminary clinical basis for the clinical use of this therapy to treat knee osteoarthritis patients.Methods:From October 2017 to June 2019,we selected 40 patients admitted to hospital who ever were diagnosed with knee osteoarthritis with varus deformity by department of joint disease,the hospital of Traditional Chinese Medicine Of Jiang Xi Province,the baseline data of the patients would be collected and analyzed to make both of them fitted the bills.They have the right to be told at the beginning of the research that they would take part in a research that we would treat the knee osteoarthritis patients by using two different therapeutic method which we had mentioned above and then they were assigned to the treatment group(20 cases)and the control group(20 cases)at random.The therapy method of the treatment group was distal tibial tuberosity of high tibial osteotomy combined with bushenshujinhuoxue decoction while the control group was only treated with the distal tibial tuberosity of high tibial osteotomy.Two groups were followed for preoperative and postoperative 1 week,2 weeks VAS score(visual analogue scale),1 week,2 weeks after patellar under10 cm in swelling value changes,preoperative and postoperative knee Lysholm rating of 3,6 months,and presence of surgical complications and the adverse reaction of taking Chinese traditional medicine,will be observed.And SPSS22.0 software was used for statistical analysis of the observed data of the two groups to evaluate and compare the short-term clinical efficacy of the two groups.Result:40 patients were included in the research,and 40 patients were eventually completed,20 patients in the control group and 20 patients in the treatment group.Two groups of patients were taken out stitches at the time of two weeks after the surgery,incision healed well,no obvious surgical complications,the patients in the treatment group had no bad reaction after taking Chinese medicine,two groups of cases of general data is no statistical significance(P>0.05),the VAS scores,Lysholm scores and preoperative circumference of the lower 10 cm of the patella before operation of two groups before treatment with no statistical significance(P>0.05),comparable.1.The VAS scores of the two groups at 1 and 2 weeks after the operation were significantly improved compared with those before the treatment with a significant difference(P < 0.001).The pain improvement was compared between the two groups,and the improvement was higher in the treatment group,with a significant difference(P <0.05).2.The swelling data of the two groups decreased significantly at the time of 2 weeks after surgery compared with 1 week after surgery,with a significant difference(P < 0.001).The improvement of the swelling was compared between the two groups,and the improvement degree of the treatment group was higher,with a significant difference(P<0.05).3.The Lysholm scores in the two groups were significantly improved at the time of 3 months and 6 months after the operation compared with those before the treatment,with a significant difference(P < 0.001).The Lysholm scores in the treatment group 3months after the operation were higher,with a significant difference(P<0.05),and there was no statistically significant difference in Lysholm scores between the two groups 6 months after the operation(P>0.05).Conclusion:Bushenshujinhuoxue decoction combined with the distal tibial tuberosity of high tibial osteotomy has more advantage in the shortterm clinical efficacy of knee osteoarthritis with varus deformity than the therapeutic method of distal tibial tuberosity of high tibial osteotomy,which can effectively relieve symptoms and improve knee joint function.Further research is needed to evaluate its longterm efficacy.