Clinical Observation Of Total Knee Arthroplasty Combined With Traditional Chinese Medicine In The Treatment Of Rheumatoid Arthritis

Objective:To observe the effect of TKA combined with the linical curative effect of traditional Chinese medicine in the treatment of rheumatoid arthritis.Materials and methods: From 2012 January to 2014 December in our hospital treatment of 20 cases of patients with rheumatoid arthritis in 20 knees, as the research object. Male 7 cases, female 13 cases, age 48 ~ 72 years old, the average age was 62.45 years; the course of disease was 6 to 14 years, average 9 years; complication: 3 cases with diabetes. Were randomly divided into experimental group 10 cases, control group 10 cases. Two groups of patients were all selected according to the condition of total knee arthroplasty for treatment, the conventional treatment group(control group) received conventional anti-inflammatory, detumescence, prevention of thrombosis in symptomatic treatment, combination of traditional Chinese and Western medicine group(experimental group) in addition to thetreatment of Western medicine combined with oral Chinese Medicine treatment abroad. Scoring was carried out according to the HSS knee joint score system, two groups of patients,recovery of knee joint function for the systematic evaluation of postoperative. This study selected patients with gender, age, course of disease, comparison, no significant difference(P>0.05), comparable.Results:Experimental group: 9 knees were excellent, good in 1 knees, 0 bad knee, 0 knees.Knee joint HSS score preoperative average of 29.9 points, after 2 week follow-up average score of 88.3, improvement rate was 83.6%. Excellent rate was 100%. Control group: 6 knees were excellent, good in 2 knees, 2 bad knee, 0 knees. Knee joint HSS score preoperative average of 32.1 points, after 2 week follow-up average score of 83.4,improvement rate was 74.6%. Excellent rate was 80%. Postoperative improvement rate in test group than the control group.Conclusion:The combination of traditional Chinese medicine in the treatment of rheumatoid arthritis of knee total knee arthroplasty is an ideal method, can alleviate joint pain, improve joint function, regulating the body immune system, improve the quality of life.