Effect of Xujjigu decoction combined with distal tibial tubercle single plane osteotomy on patellar height and bone mineral density in patients with patellofemoral joint degeneration
Li Jing,Li Ying,Liu Ri
The Third Department of Arthrosis, the Second Hospital of Tangshan, Tangshan 063000, China
Abstract:
Objective To Effect of Xujjigu decoction combined with distal tibial tubercle single plane osteotomy on patellar height, quality of life score and bone mineral density in patients with patellofemoral joint degeneration. Methods A total of 98 patients with tibial fracture complicated with tibial tuberous epiphysitis admitted to our hospital from January 2021 to December 2022 were selected and divided into control group (49 cases) and study group (49 cases) according to numerical random table method. The control group was given the distal tibial tubercle single plane osteotomy, and the study group was given the Xujjigu decoction combined with the distal tibial tubercle single plane osteotomy. The patellofemoral joint degeneration of the two groups before and after treatment was compared. The patellar height before and after treatment was compared between the two groups. The VAS index of pain degree before and after treatment was compared between the two groups. The swelling degree of the two groups before and after treatment was compared. The indexes of oxidative stress were compared between the two groups. The quality of life scores of the two groups were compared. Bone mineral density was compared between the two groups. Results After treatment, the K-L grading score and Iwano grading score of the study group patients were significantly lower than those of the control group patients (P<0.05). After treatment, the CDI index and BPI index of the study group patients were significantly higher than those of the control group patients, while the ISI index was significantly lower than that of the control group patients (P<0.05). After treatment, the VAS score of pain in the study group patients was significantly lower than that in the control group patients (P<0.05). After treatment, the swelling length of the study group patients was significantly lower than that of the control group patients. After treatment, the levels of SOD and GSH-Px indicators in the study group were significantly higher than those in the control group, and the MDA index was significantly lower than that in the control group(P<0.05). The ADL score of the observation group was significantly higher than that of the control group, and the difference was statistically significant (P<0.05). After treatment, the BMD levels in Ward triangle, femoral greater trochanter and lumbar spine in the observation group were significantly higher than those in the control group (P<0.05). Conclusion Continue joint tibial tubercle distal muscle bone soup plain noodles osteotomy can effectively avoid the tibial fracture merge tibial tubercle epiphyseal inflammation in patients with patellofemoral joint degeneration, improve patients with patellar height and swelling degree, further regulating oxidative stress indicators patients, alleviate the pain degree in the process of treatment, improve the level of patients with bone density, thus improve the treatment of patients with life, worthy of clinical popularization and application.
