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[背景]观察胫骨近端内侧骨软骨瘤对膝关节运动稳定性的影响.[病例报告]回顾性分析2011年1月至2014年3月间收治的28例随访记录完整的胫骨近端骨软骨瘤病例的临床资料.术前均有膝关节内侧疼痛症状,活动时疼痛加重,且膝关节功能受到影响.行骨软骨瘤切除术后,膝关节疼痛症状得到改善,术后膝关节Lysholm评分较术前明显提高(P<0.05),术后2周VAS评分较术前明显降低(P<0.05).术后病理检查结果显示,全部病例均为良性肿瘤.[讨论]骨软骨瘤患者膝关节内侧疼痛及膝关节功能受限的原因可能与肿物生长改变膝关节内侧稳定结构的解剖位置从而影响膝关节功能有关.
[Background] To observe the effect of medial osteosarcoma of the proximal tibia on the movement stability of the knee. [Case Report] A retrospective analysis of 28 patients with complete follow-up recorded from January 2011 to March 2014 was performed. Tumor patients with clinical data before surgery have knee pain symptoms, activities, increased pain, and knee function affected.After osteochondroma resection, knee pain symptoms improved, postoperative knee Lysholm score than (P <0.05), and the VAS score was significantly lower 2 weeks after operation than that before operation (P <0.05) .Postoperative pathological examination showed that all cases were benign tumors. [Discussion] Osteochondroma patients with knee joint The reason for the limited medial pain and limited knee function may be related to the growth of the tumor that alters the anatomic location of the medial stable structure of the knee to affect knee function.