关节镜下髁间窝成形术治疗髁间窝撞击综合征病人膝关节屈伸功能受限  

Treatment of Movement Restriction in Femoral Intercondylar Notch Stenosis by Arthroscopic Notchplasty

作　　者：张明明[1] 戴志刚[2] 刘金兰[2] 张红[2] 

机构地区：[1]潍坊医学院,山东潍坊261042 [2]潍坊医学院附属医院,山东潍坊261031

出　　处：《现代生物医学进展》2010年第6期1162-1163,共2页Progress in Modern Biomedicine

摘　　要：目的:对髁间窝撞击综合征致膝关节屈伸功能受限患者关节镜下髁间窝成形手术疗效的探讨。方法:2008年2月-2009年7月选择关节镜下确诊骨性关节炎伴髁间窝撞击综合征病人45例,对所有患者行关节镜下髁间窝扩大成形术。结果:术后患者膝关节屈伸功能明显改进,对其中42例患者进行术后6个月随访,发现患者膝关节疼痛明显缓解或消失,关节屈伸功能较术前得到明显改善。术前Lysholm评分平均(48.7±13.1)分(差),术后平均(87.0±7.3()良),关节功能均获明显改善(P<0.001)。结论:髁间窝撞击综合征是导致该病患者膝关节疼痛及屈伸功能受限的主要原因,关节镜下髁间窝扩大成形术对该病有明显的疗效。Objective： To evaluate the efficacy of the arthroscopy in the treatment of movement restriction in femoral intercondylar notch impingement syndrome. Methods： Forty-five cases with femoral intercondylar notch impingement syndrome were diagnosed by arthroseopy between February 2008 and July 2009. The treatment was all performed by arthroscopic arthroplasty. Results： Forty-two patients were followed up for 6 months. Good function was seen in all patients. Conclusion： Femoral Intercondylar Notch Stenosis can cause the movement restriction and pain of the knee joint. The arthroscopy and arthroscopic arthroplasty were useful for treatment.

关 键 词：髁间窝 前交叉韧带 骨性关节炎 关节镜 

分 类 号：R683[医药卫生—骨科学]