Jacobs M E, Dekker M
Afd. Orthopedie, Streekziekenhuis Zevenaar.
Ned Tijdschr Geneeskd. 1992 Apr 18;136(16):787-9.
A retrospective study was performed of patients who had undergone an open knee procedure treated as day cases at the Regional Hospital of Zevenaar. An analysis was made of the rate of complications, whether complications were treated adequately, and how patients experienced an arthrotomy of the knee as a day-case procedure. Eighty-seven healthy patients aged 15 to 50 years underwent an arthrotomy of one knee as a day-case procedure, secondary to a diagnostic arthroscopy. The mean follow-up period was 8 months. Patients were reviewed by questionnaire, after which the knee was examined. The number of complications (6) was comparable with those reported in the literature. Complications within a few days after operation were reported to the GPs, who either treated themselves, or referred patients to the hospital. Of the patients 76% preferred this procedure to an operation in a clinical setting. The amount of pain suffered appears to be of great influence on the preference of the patient. The results of this study demonstrate that an arthrotomy of the knee is feasible as a day-care procedure, although extensive pre- and postoperative instructions to the patients may be improved.
对在泽弗纳尔地区医院接受日间手术的开放式膝关节手术患者进行了一项回顾性研究。分析了并发症发生率、并发症是否得到充分治疗，以及患者对膝关节切开术作为日间手术的体验。87名年龄在15至50岁之间的健康患者因诊断性关节镜检查而接受了一侧膝关节切开术作为日间手术。平均随访期为8个月。通过问卷调查对患者进行评估，之后对膝关节进行检查。并发症数量（6例）与文献报道的相当。术后几天内的并发症报告给了全科医生，他们要么自行治疗，要么将患者转诊至医院。76%的患者更喜欢这种手术方式，而不是在临床环境中进行手术。患者所遭受的疼痛程度似乎对其偏好有很大影响。这项研究的结果表明，膝关节切开术作为日间护理手术是可行的，尽管可能需要改进对患者广泛的术前和术后指导。
