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[膝关节感染——关节镜检查的挑战?]

[Infection of the knee joint--an arthroscopic challenge?].

作者信息

Neumann K, Muhr G

机构信息

Chirurgische Universitätsklinik und Poliklinik, Berufsgenossenschaftlichen Krankenanstalten, Bergmannsheil, Bochum.

出版信息

Orthopade. 1990 Apr;19(2):111-6.

PMID:2359616
Abstract

Unlike previous forms of surgical treatment, operative arthroscopy of the septic knee can prevent in most cases severe functional deficit or even ankylosis provided that arthroscopy is done within 1 week after the onset of the infection and that consistent and continuous passive motion is then carried out. In all other cases, open subtotal synovectomy is preferable to closed-irrigation suction drainage. In three-quarters of the cases presented, the functional results can be considered good. Reoperations have only been necessary when arthroscopy has been delayed by more than 1 week.

摘要

与以往的手术治疗方式不同,对于感染性膝关节进行关节镜手术,在大多数情况下可以预防严重的功能缺陷甚至关节强直,条件是在感染发生后1周内进行关节镜检查,然后持续进行被动活动。在所有其他情况下,开放性滑膜次全切除术优于闭式冲洗吸引引流术。在四分之三的病例中,功能结果可被认为良好。仅在关节镜检查延迟超过1周时才需要再次手术。

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