Efficacy of arthroscopic debridement combined with high lateral tibial osteotomy and Giebel plate internal fixation in the treatment of varus knee osteoarthritis / 中国医师杂志

ABSTRACT

Objective:To investigate the clinical effect of arthroscopic debridement combined with high lateral tibial osteotomy and Giebel plate internal fixation in the treatment of varus knee osteoarthritis.Methods:From January 2016 to June 2018, 78 patients (96 knees) with varus knee osteoarthritis in Beijing Delcony Orthopedic hospital were treated by arthroscopic debridement combined with closed lateral tibial osteotomy and Giebel plate internal fixation. The femoral tibial angle (FTA) and hospital for special surgery knee score (HSS) score of knee joint were compared before and after operation.Results:70 patients (86 knees) were followed up for 12 to 28 months, with an average of 22.4 months. Bone healing was achieved at the osteotomy site 8 to 14 weeks after operation. Pain symptoms were relieved or disappeared significantly. The force line of X-ray examination was maintained at the postoperative level. The average knee femoral tibial angle was 187.6°preoperatively and 172.5° postoperatively, which showed significant statistical difference ( P<0.05). HSS knee score criteria excellent 70 knees; good 10 knees; medium 4 knees; poor 2 knees. The excellent and good rate was 93.0%. The HSS score increased from (69.0±3.6) before operation to (87.2±8.1) after operation, with significant difference ( P<0.05). Conclusions:Arthroscopic debridement combined with high lateral tibial osteotomy and Giebel plate internal fixation is a very good method for the treatment of varus knee osteoarthritis, which is worthy of further clinical application.