Appelquist E, Chrintz H
Københavns Amts Sygehus i Glostrup.
Ugeskr Laeger. 1990 May 7;152(19):1381-2.
Follow-up examination of 27 patients nine years after conservative treatment for traumatic haemarthromatous knees with stable ligaments revealed that the injuries which should have been anticipated very frequently, according to other authors, were only found in one patient, viz lesion of the anterior cruciate ligament. Two patients had undergone operative treatment for menicsal lesions which may have been related to the primary injury. The delayed treatment had not resulted in arthrosis or other permanent sequelae. Expectant treatment with arthroscopy appears to be justified in cases of traumatic haemarthroma of the knee in patients in whom the ligaments have been demonstrated to be stable at repeated clinical examinations.
对27例创伤性膝关节血肿且韧带稳定的患者进行保守治疗9年后的随访检查发现,按照其他作者的观点本应经常出现的损伤仅在1例患者中发现,即前交叉韧带损伤。2例患者因可能与原发性损伤相关的半月板损伤接受了手术治疗。延迟治疗并未导致关节病或其他永久性后遗症。对于经反复临床检查证实韧带稳定的膝关节创伤性血肿患者,采用关节镜进行观察等待治疗似乎是合理的。