膝关节松解术后联合骨牵引治疗膝关节僵直  

Arthrolysis and skeletal traction in treatment of knee ankylosis

作　　者：刘锁利[1] 张朝建[1] 张建鹏[1] 王明昊[1] 郝建学[1] 赵霞[1] 

机构地区：[1]河北省保定市第一医院骨科,071000

出　　处：《中华创伤骨科杂志》2004年第9期1076-1077,共2页Chinese Journal of Orthopaedic Trauma

摘　　要：目的总结一种治疗膝关节僵直的新手术方法。方法对48例膝关节僵直患者行手术松解,关节内外和股四头肌成形术后加股骨髁上或髌骨牵引。结果术后对34例患者随访3～36个月,膝关节屈曲角度增加了70°～105°。结论膝关节松解术联合股骨髁上牵引或髌骨牵引手术治疗膝关节僵直能持续延长股四头肌的长度,不断增加关节屈曲角度,有利于术后患者的功能康复。Objective To sum up a new surgical method to treat knee ankylosis with skeletal traction following arthrolysis. Methods Skeletal traction through supracondyle of femur or through patella was applied for 48 patients with knee ankylosis after dissection of both intra and extra articular adhesion and quadricepsplasty. Results The follow up period ranged from 3 to 36 months. The flexion angles of the knee joint increased 70°to 105°in 34 patients. Conclusion Skeletal traction following arthrolysis to treat knee ankylosis can prolong the length of quadriceps,increase the flexion angle of the knee joint step by step and facilitate early functional recovery after operation.

关 键 词：膝关节 关节强直 骨牵引 

分 类 号：R687.3[医药卫生—骨科学]