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关节镜检查最新进展#6。骨关节炎膝关节的关节镜检查。长期随访。

Arthroscopy update #6. Arthroscopy in the osteoarthritic knee. Long-term follow-up.

作者信息

Timoney J M, Kneisl J S, Barrack R L, Alexander A H

机构信息

Department of Orthopaedic Surgery, Naval Hospital, Oakland, California.

出版信息

Orthop Rev. 1990 Apr;19(4):371-3, 376-9.

PMID:2185456
Abstract

A retrospective review was performed of 109 patients who underwent arthroscopic debridement of the knee for degenerative osteoarthritis. The results were evaluated using a modification of the Hospital for Special Surgery (HSS) scoring system as well as a subjective scale that measured the patients' degree of satisfaction with the procedure. Follow-up was obtained in 111 knees for an overall follow-up of 92% of knees. The mean age of the patients was 58.1 years, and the mean follow-up was 50.6 months. The overall results were 50 good, 20 fair, and 41 poor. Arthroscopic debridement offered measurable relief for 63% of the patients for a significant period of time. Although the results are equivocal by orthopaedic standards, 74% of the patients felt the procedure had been beneficial.

摘要

对109例因退行性骨关节炎接受膝关节镜清创术的患者进行了回顾性研究。采用特殊外科医院(HSS)评分系统的改良版以及一个主观量表对结果进行评估,该主观量表用于衡量患者对手术的满意度。对111个膝关节进行了随访,总体随访率为92%。患者的平均年龄为58.1岁,平均随访时间为50.6个月。总体结果为50例良好,20例一般,41例较差。关节镜清创术在相当长一段时间内为63%的患者提供了可测量的缓解。尽管按照骨科标准结果并不明确,但74%的患者认为该手术是有益的。

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