关节镜检查术治疗膝关节骨关节炎。
Arthroscopy as a treatment for knee osteoarthritis.
机构信息
Boston University Clinical Epidemiology Research and Training Unit, Boston, MA, USA.
出版信息
Best Pract Res Clin Rheumatol. 2010 Feb;24(1):47-50. doi: 10.1016/j.berh.2009.08.002.
Abstract
Since surfaces become irregular and debris from cartilage and meniscus gets released into the joint cavity of osteoarthritic joints, washing away this debris and attendant crystals, smoothing rough surfaces and repairing tears might help patients with disease. Such interventions are accomplished during an arthroscopy, when a fibre-optic endoscope and surgical instruments are inserted into the knee. While initial uncontrolled case series suggested that arthroscopy alleviated pain in patients with osteoarthritis, large randomised trials have suggested that arthroscopy has a limited role as a treatment of osteoarthritis.
摘要
由于表面变得不规则，软骨和半月板的碎片会释放到骨关节炎关节的关节腔内，清除这些碎片和伴随的晶体，使粗糙的表面光滑并修复撕裂，可能有助于疾病患者。这种干预是在关节镜检查期间完成的，此时将纤维光学内窥镜和手术器械插入膝关节。虽然初步的非对照病例系列表明关节镜检查减轻了骨关节炎患者的疼痛，但大型随机试验表明关节镜检查在骨关节炎的治疗中作用有限。
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