Clinical Observation On Treatment Of Knee Inversion Osteoarthritis With Duhuo Jisheng Decoction Plus Or Minus And High Tibial Osteotomy

Objective:To explore the clinical efficacy of Duhuo Jisheng Decoction plus or minus combined with high tibial osteotomy for the treatment of knee varus osteoarthritis,aiming at providing new ideas and methods for the integrated Chinese and Western Medicine treatment of knee varus osteoarthritis.Methods:58 patients with knee varus osteoarthritis in sports injury orthopedic ward of Affiliated Hospital of Shandong University of Traditional Chinese Medicine from December 2016 to June 2018,They were randomly divided into experimental group and control group by 29 cases including inclusion criteria and exclusion criteria.The experimental group was given oral Duhuo Jisheng Decoction and high tibial osteotomy,Duhuo Jisheng soup is appropriately added or subtracted according to the patient’s syndrome;The control group was treated with high iliac osteotomy alone.Both groups performed the same postoperative rehabilitation program.Followed up for 6 months.The Tegner scores of the two groups before and after 6 months were recorded.The Lysholm score and Womac score before operation,3 months after operation and 6 months after operation were analyzed.The clinical effects of the two groups were analyzed and compared.Results : 1.Preoperative and postoperative comparison,Tegner score,Lysholm score and Womac score were statistically significant in the experimental group(P<0.05);2.Comparison of Tegner score,Lysholm score and Womac score in the control group before and after treatment were statistically significant(P<0.05);3.Comparison between the two groups,the Lysholm score and the Womac score test group were superior to the control group after 3 months of treatment(P<0.05),After 6 months of treatment,the Tegner score,Lysholm score and Womac score were better than the control group(P<0.05)。Conclusion:1.Duhuo Jisheng Decoction plus or minus combined with high tibial osteotomy and high tibial osteotomy can significantly improve the symptoms and signs of patients with knee varus osteoarthritis.2.The combination of Duhuo Jisheng Decoction plus or minus combined with high tibial osteotomy is the best.It is better than the simple high tibial osteotomy in improving the symptoms and signs of patients and restoring the knee joint function.It is worthy of further clinical application and application.