关节镜下松解膝关节粘连僵硬的探讨  

An evaluation of arthroscopic release of adhesive knee joint stiffness

作　　者：朱国兴[1] 钱科军[1] 钱明权[1] 

机构地区：[1]无锡市第二人民医院骨科,江苏无锡214002

出　　处：《临床骨科杂志》2001年第1期33-34,共2页Journal of Clinical Orthopaedics

摘　　要：目的　探讨关节镜下治疗膝关节僵硬的可行性及效果。方法　关节镜下行膝关节伸膝装置松解术治疗膝关节僵硬 2 0例 ,术中切断关节内粘连 ,松解髌骨支持带 ,在股中间肌同股骨干之间作切割分离 ,然后用刨削器将股中间肌刨除。术后早期CPM及主动股四头肌锻炼。结果　随访 3个月～3年 ,膝关节活动度均较术前明显改善 ,屈膝活动均超过 90° ;膝关节活动度达 12 0°者 13例 ,占 6 5 % ;股四头肌肌力均恢复到 5级 ;无严重并发症发生。结论　关节镜下作粘连松解创伤小 ,可早期功能锻炼 ,发生再粘连机会少 ,术后效果好 。Objective To evaluate the feasibility and effect of arthroscopy in the knee joint. Methods 20 knee arthroscopies were performed on patients with stiffness of knee joint. During the operation,the adhesion was cut off in the knee joint,the patella retinaculum released,the retinaculum separated between the vastus intermedius and femur,and the vastus intermedius muscle removed with the P tron.CPM machines were used immediately after the operation and physical exercises with the quadriceps femoris must be done. Results These cases received the treatment in 3 months to 3 years. It showed that the treatment improved the function of the knee joint movement greatly. The level of the flexion of knees exceeded 90°. 13 patients (65%) reached 120°. The power of quadrate muscle reached V degree. No serious complications happened during the treatment. Conclusion Using these instruments, little trauma is found to patients. Patients can do physical exercises immediately. And it can prevent re adhesion,and has a good effect after operation and the other pathological changes of the joint can be disclosed and treated during the operation.

关 键 词：关节镜检查 膝关节 关节强直 

分 类 号：R684.8[医药卫生—骨科学]