The Clinical Observation Of Arthroscopic Debridement Combined With Acupotomology In The Treatment Of Knee Osteoarthritis Under The Guidance Of The Meridian Sinew Theory

Objectives:To observe the clinical effect of Arthroscopic Debridement combined with Acupotomology in the treatment of early and middle Knee Osteoarthritis under the guidance of the Meridian Sinew Theory,and to provide a new idea for the treatment of early and middle Knee Osteoarthritis.Methods:Among patients with osteoarthritis of the knee who visited between December 2018 and December 2019,select 90 cases patients in line with the diagnostic criteria,inclusion criteria,and according to the order will be selected by lottery method patients were randomly divided into 3 groups(30 cases:1.The Arthroscopy union Acupotomology group:clear the arthroscopic surgery union Acupotomology therapy;2.The Arthroscopy group:Arthroscopic Debridement;3.The Acupotomology group:Acupotomology therapy.Knee Art hroscopic Debridement was treated once,Acupotomology therapy was treated once a week,and 3 weeks was a course of treatment.The 3 groups were treated with anti-inflammatory,analgesic,manipulation and functional exercise.Visual Analogue Scale(VAS)and Lysholm scores were performed in the three groups before treatment,2 weeks and 3 months after treatment,and weighted position X-ray was performed before treatment and 3 months after treatment to evaluate the improvement of clinical symptoms.The above data were statistically processed using the software package SPSS21.0.Results:1.There were 90 cases actually completed in the project,including 30 cases in the Arthroscopy union Acupotomology group,30 cases in the Arthroscopy group and 30 cases in the Acupotomology group.There were no statistical differences in age,gender,disease course,disease site and k-l grading among the three groups(all P values were >0.05),indicating comparability.2.At 2 weeks and 3 months after the end of treatment,the VAS score and Lysholm score were compared in the ascending group,and the difference was statistically significant(P<0.05),indicating that the three groups were effective in alleviating pain and improving function.After treatment,the difference between the three groups was statistically significant(P<0.05),in dicating that the combined treatment of Arthroscopic Debridement and Acupotomology was more effective under the guidance of the Meridian Sinew Theory.3.Three months after the end of treatment,the difference between the three groups before and after treatment was statistically significant(P<0.05),indicating that all three groups could improve lower limb line of force.After treatment,the difference between the three groups was statistically significant(P<0.05),indicating that Arthroscopic Debridement combined with Acupotomology under the guidance of the Meridian Sinew Theory could improve lower limb line of force more effectively.After 3 months of treatment,the difference between the internal and external space of the knee joint and the group before treatment was statistically significant(P<0.05),indicating that all the three groups had curative effect on improving the knee joint space after 3 months of treatment.However,there was no significant difference between the three groups in improving the internal and external space of the knee,with P>0.05,indicating that there was no significant difference between the three groups in improving the internal and external space of the knee,which may be related to the wear of articular cartilage of the knee and the course of the disease.Conclusions:Knee Arthroscopic Debridement combined with Acupotomology in the treatment of early and middle KOA under the guidance of the Meridian Sinew Theory has a good clinical effect,which can effectively reduce the pain of patients,improve the knee joint function,and improve the force line of lower limbs.