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部分半月板切除术联合部分脂肪垫或滑膜切除术后负压引流对膝关节积液的影响

Suction drainage influence on knee effusion following partial meniscectomy with partial fat pad or synovium resection.

作者信息

Alkan Kaya, Unay Koray, Berkem Levent, Güven Melih, Poyanlı Oğuz

机构信息

Department of Orthopedics and Traumatology, Göztepe Training and Research Hospital, İstanbul, Turkey.

出版信息

Acta Orthop Traumatol Turc. 2011;45(4):221-4. doi: 10.3944/AOTT.2011.2545.

Abstract

OBJECTIVE

The aim of our study was to examine the effect of suction drains on knee after arthroscopic partial meniscectomy with partial fat pad removal or synovectomy.

METHODS

We performed arthroscopic partial meniscectomy for posterior tears of the medial meniscus and partial fat pad or synovium shaving in 72 patients. Following surgery, a suction drain was not used in 40 patients (Group A) and used in 32 (Group B). Both groups were similar in terms of age, gender, and total operation time. The patients were evaluated at 1, 2, and 4 weeks postoperatively for the presence of a knee effusion.

RESULTS

No significant difference was observed in the grade of effusion and the average percent change in the effusion grade between Groups A and B at 1, 2, and 4 weeks postoperatively.

CONCLUSION

Use of a suction drain did not influence the postoperative effusion or the clinical course of the effusion after arthroscopic partial meniscectomy with partial fat pad removal or synovectomy.

摘要

目的

本研究旨在探讨在关节镜下部分半月板切除术联合部分脂肪垫切除术或滑膜切除术后,引流管对膝关节的影响。

方法

我们对72例内侧半月板后角撕裂患者进行了关节镜下部分半月板切除术及部分脂肪垫或滑膜切除术。术后,40例患者(A组)未使用引流管,32例患者(B组)使用了引流管。两组患者在年龄、性别和总手术时间方面相似。术后1周、2周和4周对患者进行膝关节积液情况评估。

结果

术后1周、2周和4周,A组和B组在积液分级及积液分级的平均变化百分比方面均未观察到显著差异。

结论

在关节镜下部分半月板切除术联合部分脂肪垫切除术或滑膜切除术后,使用引流管不会影响术后积液情况或积液的临床病程。

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