论文部分内容阅读
目的：探讨关节镜下松解术治疗膝关节僵硬的方法和临床疗效。方法：在2011年12月至2014年1月，21例膝关节僵直患者行膝关节镜下粘连松解术。术中切除关节内粘连束带和疤痕组织，松解挛缩关节囊。1例效果不佳者，辅以股四头肌成形术。结果：所有患者均获6-12月随访（平均随访8.5月），膝关节功能按照Judet[1]疗效评定标准：优19例，良1例，差1例。膝关节活动度较术前平均增加71度（P＜0.05）。无一例出现皮肤坏死、感染等并发症。结论：关节镜下松解术治疗膝关节僵直具有损伤小、疗效确切、并发症少等优点。“,”ObjectiveTo investigate themethodsand the clinical efficacy of arthroscopic release of knee stiffness.MethodsFrom december 2011 to January 2014,21 cases of knee stiffness underwent the arthroscopic adhesion release.Intraoperation excision of intra-articular fibrous bunds and scar tissue,and release the contracture capsule.1 case was ineffective,supplemented by quadricepsplasty.Results All patients were followed up for 6-12 months,with an average 8.5 months. The knee function according to Judet’s criteria: excellent was in 19 cases,good in 1case and poor in 1 case . Compared with the preoperative,the average knee range of motion increased of 71 degrees(P<0.05).No case of skin necrosis, infection and other complications.ConclusionArthroscopic release of knee stiffness have the advantages of minimal injury,efficacy and fewer complications.