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[膝关节骨关节炎的关节镜治疗]

[Arthroscopic treatment for osteoarthritic knee].

作者信息

Bloom Shlomo, Lebel David, Cohen Eugen, Atar Dan, Rath Ehud

机构信息

Orthopedic Department, Soroka Medical Center, Beer Sheba, Israel.

出版信息

Harefuah. 2008 Apr;147(4):330-4, 373.

Abstract

Osteoarthritis (OA) is the leading cause of knee morbidity. Age and overweight are the main risk factors for development of knee OA. The majority of patients respond to conservative treatment. For those who don't, surgical treatment is the only alternative. Arthroscopic surgery for the osteoarthritic knee is a well known procedure. Recently, numerous publications addressed the advantages of arthroscopic treatment for this indication. Some of the publications concluded that arthroscopic treatment for knee OA equals placebo. Others found temporary relief of symptoms. Among special subgroup of patients, in which acute pain exacerbation, mechanical block or early OA, utilizing arthroscopic techniques revealed satisfactory results. In this review, we discuss the indications and contraindications for arthroscopic treatment of the osteoarthritic knee according to the latest literature.

摘要

骨关节炎(OA)是导致膝关节发病的主要原因。年龄和超重是膝关节OA发病的主要风险因素。大多数患者对保守治疗有反应。对于那些没有反应的患者,手术治疗是唯一的选择。关节镜手术治疗骨关节炎膝关节是一种广为人知的手术。最近,许多出版物阐述了关节镜治疗该适应症的优势。一些出版物得出结论,关节镜治疗膝关节OA等同于安慰剂。另一些则发现症状得到了暂时缓解。在急性疼痛加剧、机械性阻滞或早期OA等特殊患者亚组中,采用关节镜技术显示出令人满意的结果。在本综述中,我们根据最新文献讨论关节镜治疗骨关节炎膝关节的适应症和禁忌症。

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