Papilion J D, Heidt R S, Miller E H, Welch M C
Department of Arthroscopy, Christ Hospital, Cincinnati, Ohio.
Arthroscopy. 1991;7(2):237-40. doi: 10.1016/0749-8063(91)90113-c.
Arthrodesis of the knee is an accepted procedure to alleviate pain and deformity in posttraumatic degenerative arthritis, in patients who are not candidates for total joint arthroplasty. Most all of the accepted surgical methods involve an arthrotomy to remove bone and prepare the surfaces for fusion. We present an unusual case of posttraumatic arthritis of the knee in a young woman with a history of osteomyelitis. An arthrodesis was planned, but an arthrotomy was precluded. Arthroscopically assisted preparation of the fusion bed was performed for compression arthrodesis of the knee with an external fixator. A successful arthrodesis was obtained in 14 weeks.
膝关节融合术是一种公认的手术方法,用于缓解创伤后退行性关节炎患者的疼痛和畸形,这些患者不适合进行全关节置换术。几乎所有公认的手术方法都需要切开关节以去除骨质并准备融合面。我们报告了一例年轻女性创伤后膝关节炎的罕见病例,该患者有骨髓炎病史。计划进行膝关节融合术,但不能进行切开手术。通过关节镜辅助准备融合床,使用外固定器进行膝关节加压融合术。14周后成功实现了关节融合。