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膝关节退行性关节病关节镜清理术的前瞻性研究

A prospective review of arthroscopic debridement for degenerative joint disease of the knee.

作者信息

Aichroth P M, Patel D V, Moyes S T

机构信息

Westminster Hospital, London, England.

出版信息

Int Orthop. 1991;15(4):351-5. doi: 10.1007/BF00186877.

Abstract

A prospective review of 254 patients with moderate or severe knee pain due to degenerative joint disease, treated by arthroscopic debridement of menisci, articular cartilage, osteophytes and loose bodies has been made 24 to 140 months (average of 44 months) after surgery. Patients ranged in age from 28 to 82 years with an average of 49 years. At review, 75% had minimal discomfort and improved function and 85% were satisfied with the treatment. Those with less radiographic arthritis, less severe involvement of articular cartilage at operation and of younger age had more worthwhile improvement. This procedure allows worthwhile relief of symptoms, and only 14% had a subsequent operation after an average period of four years.

摘要

对254例因退行性关节病导致中度或重度膝关节疼痛的患者进行了前瞻性回顾,这些患者在接受关节镜下半月板、关节软骨、骨赘和游离体清理术后24至140个月(平均44个月)接受了评估。患者年龄在28岁至82岁之间,平均年龄为49岁。在评估时,75%的患者不适轻微且功能改善,85%的患者对治疗满意。那些影像学关节炎较轻、手术时关节软骨受累程度较轻且年龄较轻的患者改善更显著。该手术能有效缓解症状,平均四年后只有14%的患者接受了后续手术。

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