Tanaka Nobuyuki, Sakahashi Hisashi, Sato Eiichi, Hirose Kazuya, Isima Takumi
Sapporo Gorinbashi Orthopedic Hospital in Gorinbashi Hospitals, Sapporo, Hokkaido, Japan.
J Arthroplasty. 2003 Oct;18(7):897-902. doi: 10.1016/s0883-5403(03)00271-7.
Influence of the infrapatellar fat pad resection in a synovectomy during total knee arthroplasty (TKA) was evaluated in patients with rheumatoid arthritis (RA). Our findings for 120 RA patients at 28 to 38 months after surgery showed that (i) a significant decrease in the number of patients with anterior aching discomfort despite a lower-lying patella was seen in patients with infrapatellar synovectomy compared with patients without infrapatellar synovectomy, and (ii) an increase in the number of patients with anterior aching discomfort, significant limited motion, slight quadriceps weakness, and significant shortening of patellar tendon length and patella height were noted among patients with infrapatellar synovectomy, including fat pad resection, than in patients without infrapatellar synovectomy.
在类风湿性关节炎（RA）患者中，评估了全膝关节置换术（TKA）滑膜切除术中髌下脂肪垫切除的影响。我们对120例RA患者术后28至38个月的研究结果表明：（i）与未进行髌下滑膜切除术的患者相比，进行髌下滑膜切除术的患者中，尽管髌骨位置较低，但前侧疼痛不适患者的数量显著减少；（ii）与未进行髌下滑膜切除术的患者相比，进行包括脂肪垫切除在内的髌下滑膜切除术的患者中，前侧疼痛不适、明显活动受限、股四头肌轻度无力以及髌腱长度和髌骨高度明显缩短的患者数量有所增加。
