摘要
１９８９～１９９４年，作者对２４例开放式半月板切除术后的膝关节紊乱病例进行了二次关节镜术。回顾研究表明半月板切除术后早期，关节紊乱的主要原因是残留后角的交锁、残余半月板破裂及脂肪垫损伤；晚期膝关节紊乱的主要原因是半月板切除导致的退变性骨关节炎和／或膝内／外翻。早期病例通过关节镜下半月板再切除或修整及脂肪垫部分切除可获得满意疗效；对晚期的骨关节炎病例则需进行关节镜清理术及胫骨高位截骨或关节置换术。
AbstractBetween 1989 and1994,twenty four cases of kneedisorders caused byopen meniscectomy had undergonethe second operation by arthroscopic procedures。Theresults of retrospective study indicated that main rea-sons of early disorders following meniscectomy werelocking of remanent posterior horn,tears of remanentmeniscus and injuries of fat pad and the cause of latedisorders were single compartment osteoarthritis andgenu varum /valgum caused by meniscectomy。In earlycases,the arthroscopic reshape or removal of meniscalremanents and partial resection of fat pads could gets8tisfactorv reslllts。1n1ate cases of osteoarthritis withgenu varum/valgum,arthroscopic debridement highosteotomy of tibia or knee replacement should be car-ried out as means of treatment.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1995年第10期586-588,共3页
Chinese Journal of Surgery
