膝关节镜联合支具治疗膝骨关节炎进展

Research Progress on the Combined Use of Arthroscopic Surgery and Orthosis for the Treatment of Knee Osteoarthritis

摘要: 膝骨关节炎(Knee osteoarthritis, KOA)是一种常见的退行性病理改变的疾病，现已成为影响中老年群体下肢健康的重要威胁。膝关节镜手术能在极小的创口下清晰观察关节内部结构，进行必要的清创，从而有效缓解疼痛，改善关节功能。然而仅依赖手术往往难以达到最佳的长效治疗效果，引入膝关节支具能为术后的康复提供了强有力的支持。支具不仅能稳定关节，减轻因负重而加剧的疼痛，还能在一定程度上纠正关节的不良力线分布，促进关节功能的恢复和软组织的愈合。本研究的目的在于总结关节镜联合支具治疗膝骨关节炎的问题，以供医疗实践中作参考。

Abstract: Knee osteoarthritis (KOA) is a common degenerative disease that poses a significant threat to the lower limb health of middle-aged and elderly populations. Arthroscopic surgery allows for clear observation of the internal joint structure through minimal incisions, performing necessary debridement to effectively alleviate pain and improve joint function. However, relying solely on surgery often fails to achieve the best long-term therapeutic outcomes. The introduction of knee joint braces provides strong support for postoperative rehabilitation. Braces not only stabilize the joint and reduce pain exacerbated by weight-bearing but also correct the distribution of abnormal forces on the joint to some extent, promoting the recovery of joint function and the healing of soft tissues. The purpose of this study is to summarize the issues associated with the combined use of arthroscopy and braces in the treatment of knee osteoarthritis for reference in medical practice.