摘要
目的探讨股四头肌成形术治疗骨折后膝关节僵直的疗效。方法采用Ｔｈｏｍｐｓｏｎ法切断股中间肌肌腱，彻底松解关节内、外粘连后重组股四头肌治疗１８例。结果１７例随访１年４个月～７年，术后膝关节伸屈活动度平均增加７７°，平均屈膝度为９８°。结论Ｔｈｏｍｐｓｏｎ法仅切断股中间肌肌腱，保持了股直肌肌腱的完整性，在彻底松解关节内、外粘连后，患者能尽早开始锻炼，所以效果较佳，应是首选的治疗方法。
Objective To
evaluate the effects of treatment with Thompson quadricepsplasty in 18 cases of ankylosis of
the knee caused by femoral fractures. Methods By excising the tendon of vastus intermedius
while dissecting both intraand extraarticular adhesion completely, quadriceps was
reconstructed for 18 patients. Results During the followingup period ranging from 16 months to
7 years, it is observed that the ROM of the knee increased by an average angle of 77 degrees
with an average of flexion of 98 degrees as a result of the surgery. Conclusion Thompson
quadricepsplasty is most desirable in treating ankylosis of the knee because it dissects both
intra and extraarticular adhesions thoroughly by excising the tendons of vestus intermedius
with the tendon of rectus femoris remaining intact. Moreover, early exercise will be beneficial to
better effects.
出处
《临床骨科杂志》
1999年第2期140-141,共2页
Journal of Clinical Orthopaedics
