摘要
目的:探讨关节镜下松解治疗膝关节纤维僵直的方法和效果。方法:21例膝关节僵直行关节镜下松解,切除关节内粘连束带和疤痕组织、松解挛缩关节囊、分离股四头肌与股骨间粘连。结果:术后2例出现关节血肿。随访4~49个月,平均19个月,膝关节活动度从术前平均41°增至115°,平均提高74°。结论:关节镜下松解治疗膝关节僵直创伤小,康复快,效果好。
Objective: To investigate the methods and the clinical results of arthroscopic release of knee arthrofibrosis. Methods: Twenty-one patients with knee stiffness were treated under arthroscopy. The technique included excision of intraar-ticular fibrous bunds and scar tissue, release of the contracted capsular and the adhesions between the quadriceps and the anterior surface of the femur. Results: Two patients developed hematoma. The follow-up period ranged from 4 to 49 months (mean 19 months). The average knee range of motion improved from 41° preoperatively to 115°, the average gain was 74°. Conclusion: Arthroscopic release of knee arthrofibrosis has the advantages of minimal injury, rapid rehabilitation and good out-
出处
《中国矫形外科杂志》
CAS
CSCD
2003年第19期1306-1308,共3页
Orthopedic Journal of China
关键词
膝关节
关节镜检查
粘连
治疗
Knee joint
Arthroscopy
Adhesions
Treatment