Volume 23 Issue 12
Dec.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(12): 2069-2072
YU Jingchuan, JIAO Hongsheng. Effect of two kinds of arthroscopic debridement combined with fibular osteotomy on the coagulation parameters and gait parameters of patients with early-to-mid stage varus knee osteoarthritis[J]. Chinese Journal of General Practice, 2025, 23(12): 2069-2072. doi: 10.16766/j.cnki.issn.1674-4152.004293
Citation: YU Jingchuan, JIAO Hongsheng. Effect of two kinds of arthroscopic debridement combined with fibular osteotomy on the coagulation parameters and gait parameters of patients with early-to-mid stage varus knee osteoarthritis[J]. Chinese Journal of General Practice, 2025, 23(12): 2069-2072. doi: 10.16766/j.cnki.issn.1674-4152.004293
shu

Effect of two kinds of arthroscopic debridement combined with fibular osteotomy on the coagulation parameters and gait parameters of patients with early-to-mid stage varus knee osteoarthritis

doi: 10.16766/j.cnki.issn.1674-4152.004293

  • Orthopedics Section 6, North China Medical and Health Group Fengfeng General Hospital, Handan, Hebei 056200, China

Funds:

 2210382716D

  • Received Date: 2024-12-27
    Available Online: 2026-03-13
    Abstract
  •   Objective  To explore the application value of two kinds of arthroscopic debridement combined with fibular osteotomy for the treatment of early-to-mid stage varus knee osteoarthritis (KOA).  Methods  A total of 103 patients with early-to-mid stage varus KOA were collected from January 2021 to January 2023 at North China Medical and Health Group Fengfeng General Hospital. They were divided into two groups according to surgical plans. The study group of 52 patients underwent limited arthroscopic debridement and fibular osteotomy, while the control group of 51 patients underwent extensive arthroscopic debridement and fibular osteotomy. The perioperative indicators, complications, and excellent and good rate of knee joint function were compared between the two groups, as well as the coagulation parameters [fibrinogen (FIB), D-dimer (D-D), activated partial thromboplastin time (APTT)], functional recovery indicators before and after surgery.  Results  The operation time [(38.38±4.46) min vs. (72.74±7.18) min, t=29.235, P < 0.001] and hospitalization time [(4.55±0.78) d vs. (7.00±0.65) d, t=17.300, P < 0.001] of the study group were shorter than those of the control group. The intraoperative blood loss [(190.90±41.12) mL vs. (309.45±68.68) mL, t=10.652, P < 0.001] and postoperative 3-day VAS score [(2.10±0.35) points vs. (2.69±0.40) points, F=7.971, P < 0.001] were lower than those of the control group. The coagulation parameters of the study group were better than those of the control group 3 days after surgery (P < 0.05). There was no significant difference in postoperative functional recovery indicators, complications, and excellent and good knee joint function rates between the two groups (P>0.05).  Conclusion  The combination of fibular osteotomy and limited arthroscopic debridement for the treatment of early-to-mid stage varus KOA patients can optimize the surgical process, reduce perioperative pain, and promote disease recovery.

     

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