Titov Alexei G, Nakonechniy Georgy D, Santavirta Seppo, Serdobintzev Mikhail S, Mazurenko Sergey I, Konttinen Yrjö T
Sanct-Petersburg State Scientific Research Institute of Phthisiopulmonology, Sanct-Petersburg, Russia.
Knee. 2004 Feb;11(1):57-62. doi: 10.1016/S0968-0160(03)00035-8.
We assessed the usefulness of arthroscopy in bone and joint tuberculosis (11 knees, 1 elbow and 1 ankle). In all 11 patients with knee joint involvement the arthroscopic operation were successful with a significant improvement in the range of motion (P=0.007) and knee score (P=0.003). There were no cases of reactivation or recurrence during a follow-up period of 15-42 months. In contrast, in the two patients with ankle or elbow joint involvement and bone destruction, arthroscopy had to be converted to open operation. Minor trauma, a short hospitalization time and a short post-operative rehabilitation period combined with good cosmetic and clinical results favor the use of the arthroscopic technology in the surgical treatment of tuberculous arthritis of the knee.
我们评估了关节镜检查在骨与关节结核（11例膝关节、1例肘关节和1例踝关节）中的应用价值。在所有11例膝关节受累患者中，关节镜手术均获成功，活动范围（P = 0.007）和膝关节评分（P = 0.003）有显著改善。在15至42个月的随访期内，无复发或再激活病例。相比之下，在2例踝关节或肘关节受累并伴有骨质破坏的患者中，关节镜检查不得不转为开放手术。轻微创伤、较短的住院时间和术后康复期，以及良好的美容和临床效果，都有利于在膝关节结核性关节炎的手术治疗中使用关节镜技术。
