关节镜辅助松解创伤后屈膝功能受限的临床效果观察  

Arthroscopic assisted release of posttraumatic limited knee flexion

作　　者：王国栋[1] 崔鹏[1] 董岩[1] 刁乃成[2] 马立峰[2] 于浩淼[2] 强华[1] Wang Guodong;Cui Peng;Dong Yan;Diao Naicheng;Ma Lifeng;Yu Haomiao;Qiang Hua(Department of Orthopedics,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Department of Orthopedics,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京同仁医院骨科,北京100730 [2]首都医科大学附属北京友谊医院骨科,北京100050

出　　处：《中国医刊》2022年第3期276-279,共4页Chinese Journal of Medicine

摘　　要：目的评估关节镜辅助松解对创伤后屈膝功能受限的治疗效果。方法回顾性分析2016年1月至2021年6月在首都医科大学附属北京同仁医院及北京友谊医院采用关节镜下辅助松解处理的膝关节周围骨折术后屈膝功能受限的10例患者的病例资料,比较松解前和松解后3个月时患者的伸屈膝角度、膝关节活动度、美国特种外科医院(Hospital for Special Surgery,HSS)评分情况,并记录松解术后感染、皮肤坏死、再骨折、伸膝迟滞等并发症发生情况。结果10例患者松解术前伸膝角度为3.6°±3.1°、屈膝角度为50.0°±19.3°、膝关节活动度为46.4°±20.7°,HSS评分为(53.3±7.8)分;松解术后3个月时伸膝角度为2.0°±1.9°、屈膝角度为109.4°±8.9°、膝关节活动度为107.4°±10.0°,HSS评分为(67.2±11.4)分。手术前后伸屈膝角度、膝关节活动度及HSS评分比较差异均有显著性(P<0.05)。所有患者术后均未发生感染、皮肤坏死、再骨折等并发症,1例患者出现15°的伸膝迟滞。结论对于创伤后的屈膝功能受限,关节镜辅助下松解可获得比较满意的临床疗效。Objective To evaluate the effect of arthroscopic assisted release on knee flexion limitation after trauma.Method Ten patients with limited knee flexion after arthroscopic assisted release of peri-knee fractures were analyzed retrospectively.The knee extension and flexion angle,range of motion and HSS score before and 3 months after release operation were evaluated and compared.The complications such as infection,skin necrosis,refracture and extension lag were recorded.Result The average knee extension angle was 3.6°±3.1°,knee flexion angle was 50.0°±19.3°,range of motion was 46.4°±20.7°,and HSS score was 53.3±7.8.At 3 months after release,the average knee extension was 2.0°±1.9°,the average knee flexion angle was 109.4°±8.9°,range of motion was 107.4°±10.0°,and the HSS score was 67.2±11.4.One patient had 15°knee extension lag,the HSS score was 50 before release and 44 after release.No infection,skin necrosis,refracture and other complications occurred.Conclusion For the limited knee flexion after trauma,arthroscopic assisted release can obtain satisfactory clinical results.

关 键 词：膝关节 屈膝受限 关节镜辅助松解 

分 类 号：R658.3[医药卫生—外科学]