Objective To investigate clinical efficacy of proximal fibular osteotomy for medial compartment osteoar-thritis. Methods Total 10 patients with knee osteoarthritis patients with medial compartment, which were treated with the proximal fibula osteotomy surgery. VAS, HSS score, KSS scores were compared the treatment outcomes. Re-sults Patients were all followed up for 3~ 12 months. Operation time was 30~55 ( 35 ± 9 ) min, blood loss was 17~30 (22. 6 ± 3. 5) ml,hospital stay was 5~12 (7. 6 ± 0. 8) d. VAS before surgery was 3~9(7. 1 ± 2. 4), the postoperative 0~4 ( 1. 6 ± 1. 4 ); HSS score before surgery was 39 ~81 ( 51. 1 ± 20. 4 ) , the postoperative 53 ~92 (76. 2 ± 18. 6);KSS clinical scores before surgery 22~71(46. 3 ± 23. 7), the postoperative 51~96(74. 8 ± 21. 9);KSS function score before surgery 0 ~65 ( 47. 2 ± 30. 1 ) , the postoperative 40 ~90 ( 71. 9 ± 25. 6 ) . The patient′s symptoms and function were significantly improved. Conclusions Proximal fibular osteotomy medial compartment osteoarthritis with simple operation, the effect is obvious in short term, less invasive, operable.%目的：探讨腓骨近端截骨术治疗膝关节内侧间室骨关节炎的临床疗效。方法采用腓骨近端截骨术治疗10例膝关节内侧间室骨关节炎患者,采用VAS评分、HSS评分、KSS评分评价治疗效果。结果患者均获得随访,时间3~12个月。手术时间30~55(35±9) min,术中出血量17~30(22．6±3．5) ml,住院时间5~12(7．6±0．8) d。 VAS评分术前3~9(7．1±2．4)分,术后0~4(1．6±1．4)分；HSS评分术前39~81(51．1±20．4)分,术后53~92(76．2±18．6)分；KSS临床评分术前22~71(46．3±23．7)分,术后51~96(74．8±21．9)分；KSS功能评分术前0~65(47．2±30．1)分,术后40~90(71．9±25．6)分。患者症状与功能均显著改善。结论腓骨近端截骨术治疗膝关节内侧间室骨关节炎操作简单,早期效果明显,创伤小,可操作性强。
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