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中华关节外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 646 -652. doi: 10.3877/ cma.j.issn.1674-134X.2024.05.013

综述

关节镜手术在早中期膝骨关节炎治疗的应用进展
苏介茂1,2, 齐岩松1, 王永祥1, 魏宝刚1, 马秉贤1, 张鹏飞1, 魏兴华1, 徐永胜1,()   
  1. 1.010017 呼和浩特,内蒙古自治区人民医院骨科中心(运动医学中心)
    2.010110 呼和浩特,内蒙古医科大学研究生院
  • 收稿日期:2024-01-18 出版日期:2024-10-01
  • 通信作者: 徐永胜
  • 基金资助:
    国家自然科学基金项目(82172444,81560374)内蒙古自治区科技计划项目(2021GG0127)

Progress in application of arthroscopic surgery in treatment of early- and mid-stage knee osteoarthritis

Jiemao Su1,2, Yansong Qi1, Yongxiang Wang1, Baogang Wei1, Bingxian Ma1, Pengfei Zhang1, Xinghua Wei1, Yongsheng Xu1,()   

  1. 1.Orthopedic Center (Sport Medicine Center), Inner Mongolia People's Hospital, Hohhot 010017,China
    2.Graduate School of Inner Mongolia Medical University, Hohhot 010110, China
  • Received:2024-01-18 Published:2024-10-01
  • Corresponding author: Yongsheng Xu
引用本文:

苏介茂, 齐岩松, 王永祥, 魏宝刚, 马秉贤, 张鹏飞, 魏兴华, 徐永胜. 关节镜手术在早中期膝骨关节炎治疗的应用进展[J]. 中华关节外科杂志(电子版), 2024, 18(05): 646-652.

Jiemao Su, Yansong Qi, Yongxiang Wang, Baogang Wei, Bingxian Ma, Pengfei Zhang, Xinghua Wei, Yongsheng Xu. Progress in application of arthroscopic surgery in treatment of early- and mid-stage knee osteoarthritis[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(05): 646-652.

膝关节骨关节炎(KOA)在中老年人群中发病率高,严重影响中老年人的生活质量,已经是导致中老年人关节畸形的主要疾病之一。由于KOA的严重后果,目前提倡在KOA的早中期进行干预,关节镜手术因其特有的优势,是目前治疗早中期KOA的选择之一。关节镜手术应用于早中期KOA时,其主要功能在于修复破损的软骨、去除增生的骨赘以及清理病变的滑膜组织等方面,能够极大地缓解患者的症状,延缓KOA的疾病进展,推迟行关节置换术的时间。笔者通过筛选2013年7月至2024年4月的相关文献,从关节镜手术修复关节软骨缺损、关节镜手术联合其他方式治疗KOA以及关节镜手术的远期疗效等方面就关节镜手术治疗早中期KOA的相关研究做一综述,以期为关节镜手术在早中期KOA的应用提供理论依据。

Knee osteoarthritis (KOA) has a high incidence in middle-aged and elderly people,which seriously affects the quality of life of middle-aged and elderly people. It has become one of the main diseases leading to joint deformities in middle-aged and elderly people. Due to the serious consequences of KOA, it is currently advocated to intervene in the early and middle stages of KOA. Arthroscopic surgery is one of the options for the treatment of KOA in the early and middle stages due to its unique advantages. When arthroscopic surgery is applied to KOA in the early and middle stage, its main functions are to repair damaged cartilage, remove hyperplastic osteophytes, and clean up diseased synovial tissue, which can greatly relieve the symptoms of patients, delay the progression of KOA, and delay the time of joint replacement. By screening the relevant literature from July 2013 to April 2024, this article reviewed the related research on arthroscopic surgery in the treatment of early and mid-stage KOA from the aspects of arthroscopic surgery to repair articular cartilage defects, arthroscopic surgery combined with other methods to treat KOA, and the long-term efficacy of arthroscopic surgery, in order to provide a theoretical basis for the application of arthroscopic surgery in the early and middle stage of KOA.

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