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退行性膝骨关节病的关节镜下分型及治疗 预览 被引量:20

Arthroscopic Diagnostic Classification and Treatment of Degenerative Knee Osteoarthritis
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摘要 目的通过对82例96膝骨关节病的关节镜下分型诊断及治疗,探讨高效率、创伤小、疗效佳的治疗方法.方法采用关节镜微创技术,结合术前检查对退行性膝骨关节病分为:软骨破坏型、滑膜炎型、游离体型、半月板型及复合型,依此施行有针对性、局限化的手术治疗.结果74膝得到1~3年的随访,按膝关节综合评分表评分,优20%,良61%,可和差19%.结论该方法具有创伤小、效率高、康复快、并发症少等优点. Objective A study on the arthroscopic classification and treatment of 82 cases(96 joints) of degenerative knee osteoarthritis (DKO) was carried out to find out an efficient, lesser trauma and equal or even better outcome procedure. Methods The DKO was bascially divided into five types: cartilage lesion, synovitis, loose body, menisci tear and complex type by the combination of preoperative physical examination and arthroscopy, therefore, the management could be targeted ?localized and focused on special involved lesions according to the different types. Results Clinical outcomes of 74 joints were ,excellent in 15 ( 20%), good in 45 (61%), fair and poor in 14 (19%), scored by the Comprehensive Knee Joint Rating System in period of fellow-up ranged from 12 to 36 months (mean 16 months).Conclusion Targeted, localized and focused arthroscopic technique was proven to be a lesser trauma, rapid rehabilitating, fewer complications and equal or better outcome procedurce.
作者 张春礼 孙梁 杨国华 Zhang Chunli, Sun Liang,Yang Guohua.Institute of Orthopaedics of PLA ,Xijing Hospital, Fourth Military Medical University, Xian, 710032
出处 《骨与关节损伤杂志》 2001年第4期 284-286,共3页 The Journal of Bone and Joint Injury
关键词 退行性膝骨关节病 关节镜术 分型 治疗 Knee joint Osteoarthritis Arthroscopy
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  • 1娄思权,中华骨科杂志,1996年,16卷,56页 被引量:1
  • 2陆庄樵,中华骨科杂志,1990年,10期,281页 被引量:1

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