Odumala O O, Ayekoloye C I, Perera S D
Department of Orthopaedics and Trauma, Southend General Hospital, Southend, Essex, England.
Arthroscopy. 2001 Jul;17(6):640-1. doi: 10.1053/jars.2001.21249.
Postarthroscopy knee fistulae may lead to prolonged morbidity. A 62-year-old man presented with a synovial knee fistula 4 weeks after knee arthroscopy, which was confirmed by magnetic resonance imaging. He was treated with antibiotics and knee immobilization that resulted in closure of the fistula. He then developed recurrent septic knee effusion that required arthroscopic washout, further antibiotic treatment, and physiotherapy. The patient's clinical condition resolved after a further 6 weeks. This case shows that not all fistulae resolve spontaneously; they may lead to prolonged morbidity and necessitate further treatment. We also wish to note that magnetic resonance imaging is a useful diagnostic tool in place of the traditional sinogram.
关节镜检查后膝关节瘘可能导致病程延长。一名62岁男性在膝关节镜检查后4周出现滑膜膝关节瘘，磁共振成像证实了这一情况。他接受了抗生素治疗和膝关节固定，瘘管得以闭合。随后他又出现复发性化脓性膝关节积液，需要进行关节镜冲洗、进一步的抗生素治疗和物理治疗。6周后患者的临床症状得到缓解。该病例表明，并非所有瘘管都会自行愈合；它们可能导致病程延长，需要进一步治疗。我们还想指出，磁共振成像作为一种有用的诊断工具可替代传统的窦道造影。
