摘要
目的探讨膝关节纤维性僵直关节镜下松解的效果。方法 30例膝关节纤维性僵直患者采用膝关节镜前内、前外标准入路,在关节镜直视下将粗大的粘连带切断及清除,同时对合并关节外粘连的辅以髌骨外上小切口,将股中间肌切断。于术中及术后2周观察膝关节屈曲角度。结果 30例术中膝关节屈曲均达130°以上,2周后26例膝关节屈曲达120°以上,3例达100°,1例达90°。手术时间30～60min,无手术并发症发生。患者均获随访,时间6个月～3年。根据Teger膝关节评分标准:优26例,良4例。术后膝关节活动范围90°～140°,较术前平均改善74°。结论膝关节纤维性僵直关节镜下松解治疗既避免了单纯麻醉下推拿的盲目性,也大大减小了关节切开松解或股四头肌成形术的创伤,具有手术操作相对简单、安全、疗效好、术后并发症少等优点。
Objective To study the surgery effect of arthroscopic releasing of knee fibrotic stiffness.Methods 30 cases of knee fibrotic stiffness were undergone arthroscopic releasing of intra-articular adhesion band.For the cases with extra-articular adhesion,the middle vastus was cut off through a minimally lateral incision.The rang of motion（ROM）was observed intraoperatively and 2 weeks postoperatively.Results 30 cases could flex the knee above 130 ° intraoperatively.26 cases could flex the knee above 120 ° after two weeks,and 3 cases reached 100 °,1 case reached 90 °.The operative time was 30~60 mins.No complication was found.All cases were followed up for 6 months^3 years.According to Teger standard,26 cases obtained excellent effect,4 good.The ROM of knee 90°～140°after operation,Average improved 74°.Conclusions Arthroscopic releasing of knee fibrotic stiffness can avoid the blindness of massage under anesthesia,and reduce the trauma of releasing of open the knee or quadriceps plasty,which has the advantages of simplicity,safety,excellent effect and few complications.
出处
《临床骨科杂志》
2010年第3期286-288,共3页
Journal of Clinical Orthopaedics
