Evrard J, Postel M
Rev Chir Orthop Reparatrice Appar Mot. 1978 Dec;64(8):685-90.
The authors have studied the results of attempts to restore joint movement in stiff knees after septic non-union of fractures of the femoral shaft or after septic arthritis of the knee by arthrolysis and quadriceps release. Fifteen procedures were done on fourteen patients with severe limitation of movements. The results were gratifying; eight very good and four good. No case was made worse. The technique is described in detail and operative and post-operative complications described. A long-term follow-up study showed that the results tended to improve after several years. The prognosis can be based on the degree of flexion obtained during operation, though free flexion should be distinguished from forced flexion. It is concluded that the procedures used are worthwhile in spite of previous sepsis.
作者研究了通过关节松解术和股四头肌松解术恢复股骨干骨折感染性不愈合或膝关节感染性关节炎后僵硬膝关节活动的尝试结果。对14例运动严重受限的患者进行了15次手术。结果令人满意；8例非常好，4例良好。无一例病情恶化。详细描述了该技术以及手术和术后并发症。一项长期随访研究表明，几年后结果趋于改善。尽管之前有感染，但预后可根据手术中获得的屈曲程度来判断，不过应区分主动屈曲和被动屈曲。得出的结论是，尽管之前有感染，但所采用的手术是值得的。
