一项随机对照试验：针刀关节镜与关节镜干预对膝关节OA患者步态和症状的影响

IF 1.5 Q3 ORTHOPEDICS

Journal of orthopaedics Pub Date : 2025-03-21 DOI:10.1016/j.jor.2025.03.020

Zichao Xiong , Shaodan Cheng , Cheng Ge , Yang Zhang , Shihui Wang , Yunwen Gao , Yinghui Ma

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引用次数: 0

摘要

本研究旨在比较针刀关节镜和关节镜干预对膝关节骨性关节炎（KOA）患者步态和症状的影响。方法在一项单盲、随机试验中，73例KOA患者被分配接受针刀关节镜或关节镜治疗。测量的主要结果是干预前后的步态时空和运动学参数。次要结局包括西安大略和麦克马斯特大学骨关节炎指数（WOMAC）和膝关节社会评分（KSS）。结果两组患者步态参数均有显著改善，WOMAC评分降低，干预后KSS增加(P <；0.01)。针刀关节镜组在步态周期时间和膝关节屈曲角度方面表现出更好的改善，尽管在提高步行速度方面效果较差。结论两种干预措施均能有效改善步态生物力学，减轻关节症状。针刀关节镜在改善短期临床症状和功能能力方面更有效，而关节镜治疗疼痛和活动受限更优越。

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A randomized controlled trial: Acupotomy Arthroscope vs. arthroscopic intervention in knee OA patients' gait and symptoms

Background

This study aimed to compare the effects of Acupotomy Arthroscope and Arthroscopic interventions on gait and symptoms in patients with Knee Osteoarthritis (KOA).

Methods

In a single-blind, randomized trial, 73 KOA patients were assigned to receive either Acupotomy Arthroscope or Arthroscopic treatment. The primary outcomes measured were pre- and post-intervention gait spatiotemporal and kinematic parameters. Secondary outcomes included the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Knee Society Score (KSS).

Results

Both groups exhibited significant improvements in gait parameters and reductions in WOMAC scores, with increases in KSS post-intervention (P < 0.01). The Acupotomy Arthroscope group demonstrated better improvements in gait cycle times and knee flexion angles, although it was less effective in enhancing walking speed.

Conclusion

Both interventions effectively enhanced gait biomechanics and reduced joint symptoms. Acupotomy Arthroscope was more effective in improving short-term clinical symptoms and functional capacity, while Arthroscopic treatment was superior for pain and mobility limitations.

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来源期刊

Journal of orthopaedics ORTHOPEDICS-

CiteScore

3.50

自引率

6.70%

发文量

202

审稿时长

56 days

期刊介绍： Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.