摘要
对46例51个膝关节的骨性关节炎进行了分型和关节镜视下治疗。为了治疗针对性强,将本病分为5型:髌股关节型、胫股内侧间隔型、胫股外侧间隔型、胫股全关节型和全膝关节型。主要治疗包括冲洗、增生滑膜刨除、关节面修整、软骨缺损处钻孔、骨赘切除、髌骨外侧支持带松解、破裂半月板修切及游离体摘除。平均随访4.1年优良率86.6％。滑膜挤夹、嵌顿为本病疼痛的主要原因。骨赘在影响关节活动或有脱落危险时才切除。
Forty six patients(51 knees)of osteoarthritis were underwent arthroscopic surgery and classified into five types on X-ray,and clinical appearance; patellofemoral type, medial tibialfemoral compartment type, lateral tibialfemoral compartment type, tib-ialfemoral total compartment type and total knee type. The operative technique consisted of joint irrigation,debridement of synovi-um,meniscus and chondral fragment,drilling hole on cartilage defected surface debridement of osteophyte,release of lateral reti-naculum of patella and excision of loose body. Surgical outcomes were evaluated using a knee scoring system. 30 patient were followed up at mean period of 4. 1 years. Good and excellent results were obtained in 86. 6%. The squeezed synovium is the main cause of pain. The osteophyte is not the reason of pain and is excised only when it is blocking the motion or going to fall off.
出处
《中国矫形外科杂志》
CAS
CSCD
1997年第2期98-100,共3页
Orthopedic Journal of China
关键词
骨性关节炎
关节镜
分型
外科手术
Osteoarthritis, Arthroscopy, Treatment, Classification.
