Proximal fibular osteotomy combined with traditional Chinese medicine in the treatment of osteoarthritis of medial compartment of knee joint with liver and kidney insufficiency, qi stagnation and blood stasis syndrome

Abstract

Objective To compare the efficacy of Proximal Fibular Osteotomy (PFO) combined with traditional Chinese medicine and proximal fibular osteotomy alone in the treatment of medial compartment osteoarthritis of knee joint with liver and kidney insufficiency and qi stagnation and blood stasis syndrome. Methods A retrospective analysis was made on 58 patients with osteoarthritis of knee joint with liver and kidney insufficiency and qi stagnation and blood stasis syndrome from October 2014 to May 2017. Among them, 28 patients were treated with PFO alone (group A), 30 patients were treated with PFO combined with traditional Chinese medicine hot compress and oral Chinese medicine (group B). There were 8 males and 20 females in group A, aged 51-64 years, with an average age of (58.4+2.1) years. In group B, there were 7 males and 23 females, aged from 53 to 63 years, with an average age of (59.4+3.3) years. The patients were followed up for 1 w, 1 month, 3 months, 6 months and 12 months after operation. VAS and HSS were compared between the two groups. And patient satisfaction, hospitalization time and medical expenses. Results 26 patients in group A were followed up, 2 patients were lost, 26 patients in group B were followed up, and 4 patients were lost. The follow-up period ranged from 10 months to 26 months, with an average of (12+3) months. There were no significant differences in VAS scores and HSS scores between group A and group B before surgery (P>0.05). The VAS score (5.8±0.7) of group A patients was higher than that of group B (2.8±0.6), the difference was statistically significant (t=11.548, P 0.05). Conclusions The treatment of proximal humerus osteotomy combined with traditional Chinese medicine for the treatment of medial compartment osteoarthritis of the knee joint with liver and kidney deficiency and qi stagnation and blood stasis syndrome is better than the proximal humerus osteotomy. The postoperative pain can significantly reduce the patient's pain and benefit the patient. The decline of limb swelling, improve patient satisfaction, and quickly recover the function of the affected limb is worthy of clinical promotion. Key words: Osteoarthritis, knee; Fibula; Osteotomy; Medicine, Chinese treatment